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CHART NO. <br /> CACA <br /> TO POSTING <br /> ' 9cA 9 <br /> ri <br /> Sewer Appflcafi6 <br /> prMild <br /> 2 9.19 6 DATE 11/3/92 <br /> Service Address 105 58th Pl Sfi Utility Account No. <br /> Billing Address — 237 Elm St <br /> City, State, Zip Fbarart VA 9AM1 Permit Fee $ 70.00 <br /> Owner solooc-uomee Connection Charge ` <br /> Connection by S(A E Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ -0- <br /> Phone Utility Development Fee <br /> , <br /> Legal Description: Water $ 179,00 <br /> Lot 42 Sewer $ <br /> Block Total Development Fee $ 179.00 <br /> Plat Hnnabrook. Div 4 <br /> Unpletted Description: Sewer Bond District UL1D %11 <br /> Abutting Lot Line <br /> N, S, E, W g, <br /> Type of Permit 1?w+ connection Approved By <br /> Remarks Issued By gb <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800.424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION y�y <br /> Date Inspected _ <br /> SEE SKETCH ATTACHED <br /> INSPECTION "' 2%496 <br />