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—µ-ART NO. <br /> Weverett <br /> H c] r-i � <br /> ME'," � 8888S E 8 <br /> jo W = <br /> SewerCity of Evr_rrnt 4P $ 3 �° S� o � <br /> ..p �� � � w � �� permit <br /> y Plic�t���i _ond <br /> � yXl o p �i �i ciS3z uS � �E <br /> Oxo S' p� a r. <br /> u, NO. i � � DATE October <br /> IV �xl30, 1990 <br /> 0 0 _ 76th �« SF Utility Account No. <br /> Service Address <br /> to Billing Address - <br /> n• n <br /> z '- Iona Permit Fee $ 30.00 <br /> 1311 City, Stale,Zip F� *t. —' <br /> " `3 Owner F sea/` { *h ' r — Connection Charge <br /> N <br /> Trunk $ <br /> Connection by <br /> j rLateral $ <br /> t` <br /> Address <br /> "3 O ti Total Connection Ct arge $- --- <br /> Phone <br /> f"' <br /> vec ao+o Utility Development Fee <br /> — <br /> Water $ _ 261.00 <br /> Legal Description: 6B8.00 <br /> CZ) Total <br /> z ---- <br /> Sewer $Total Development Fee $ 949.00 <br /> Block ---- <br /> Plat se 25-89 <br /> Sewer Bond District Bond I <br /> Unplatted Description: ------ <br /> A_utting Lot Line <br /> N.S.E.W <br /> Type of Permit New conn «+on Approved By <br /> ' Remarks Issued By <br /> _ COatomer Signature a" <br /> IMPORTANTI <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected <br /> No27999 <br /> SEE SKETCH ATTACHED <br /> . <br />