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, ._ _ . _ _.. <br /> _ _ _ --- . __ _ � ____ ._..._.__ ____.. <br /> � . -- -- �- ._...�.-.�..._.—.-._.-��,�..._.. <br /> +^ ��E�A� WAT�R DISTP�CT ' <br /> �'�•`i=�'� 2210•132nd SL SE • MIII Craak,yVA U8012-6616 <br /> (47b)33Y-ae�7•FAX(44f�33)�;OV <br /> --� �IC.�E SEWER PERM.!? �091,?7 <br /> -�-------- <br /> ' The undersipned Ownen c�reby makes applicoti�� for o sew�.r con�ecHon tc se�ver eralm c�f the DlttNct; <br /> for property deu�ibed cs loliows; <br /> Lepol Descriptton: ' Tha Owner hereby oprce� to b� bound by oll <br /> `)� f �..1 I�l � L-`) rules and regulafions, now In forr.e or at here- <br /> inofter amended, of the Sewer Ultiirfct. <br /> _�` � � ;. (_. .� `,p �=�C.c�, <br /> . '' Ad; u: , ..�-�'�U.Ut.�r.t..�..WJs�. G�P,-.++'..+�r <br /> . <br /> � � , � «� �,� S.� ,��� ` r. `���d/ <br /> o� ' <br /> .......................................................................P............. 1 �' �I �� � I �� <br /> �� ......._...............Y....1.1�.... .......... r. ....���.,. <br /> ' .....:�....�,�,..(...�_:�"fi:...................................�.t,�._ .......::....c.:c_t...t„�..71.'..�:U.�._....z.����U:z� <br /> ; � � J �. ���...�.� S!!t+ SEP 2 8 1999 c�rs.►�u�� �dd.�u.................. <br /> Cost ............. .... ......... r...... ............................ <br /> • J , �i'Ati'E G'IITEd D1STF�` <br /> gr ...........................BIIIIn�..Addrou .............._......... <br /> y, <br /> �f;� Controctor..................................................................................._...License No.........................................•••._............ <br /> t Af�cr Instollation, the system shall be ins�xcfed by c reprexntotive of Ihe Dlshict be{ot� coveriny, The p <br /> � erty owner sholl be responsiblo for all ope. m�ns�Interarr_e and rcpoir of the side r. � � G � <br /> ' . ' r � <br /> Permitissued by:...................�..::Y.....��.......................................................Dote:...�.. <br /> .....................»....... <br /> .._...__.�_..__._..__..:_..�.._....._..�.r..�._.. ._. ., ._ y. <br /> ...._�.-- — - - — - �� <br />