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-` C POSTING If/27AQ <br /> Sewer Application and Permit <br /> 29592 DATE 1/25994 <br /> Y <br /> Service Address <br /> 2503 53th St SN Utility Account No. <br /> -- <br /> Billing Address 14410 Bel—P.ed Gd 8200 <br /> 70.00 <br /> City, State, Zip — so 95'+17 Permit Fee $ — --- <br /> Owner bio:as Connection Charge <br /> Connection by Trunk $ — <br /> Address ( — Lateral $ <br /> Total Connection Charge $ -- <br /> Phone _— Utility Development Fee <br /> Legal Description: Water $ 224.00 <br /> Lot __,25� Powder Nill Div 2 Sewer $ <br /> 224.00 <br /> Block Total Development Fee $ <br /> Plat ULTD l;l <br /> Unplatted Description: Sewer Bond District — <br /> Abutting Lot Line <br /> N. S, E.W tt. <br /> Type of Permit dew cornectioc _ Approved By <br /> Remarks Issued By <br /> Customer Signature— <br /> IMPORTANTI <br /> CALL 1-800-424-5555 46-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected <br /> SEE SKETCH ATTACHED 9 <br /> INSPECTION <br />