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� <br /> ..�• � �':Th�'.'. � —i� .�i:.... . , lr�,�::�3w�� ...r�4��5+�.t��k�fi.$;.�tM1i��o,.1'Z*��nk; �!R!i"i-. ..�+i�.�°� ,�"n.. N�.�. . .n . � <br /> ^ '` C'^RT NO. <br /> �; <br /> �, <br /> ;-_ <br /> _� <br /> �� <br /> �: � � � � o Tl1 onSTING—�����_T <br /> •.•. o •c s r,-r <br /> ;. .� ��. <br /> Ul M �� ~ � <br /> Sewer Application and �P�rmit <br /> . � , x � <br /> O G� c5 r �� r�—� �� <br /> � Q' W ' � z- <br /> l� 29b66 �; _ :,_ � �,, ,. ,, r, <br /> DATE 31-94 <br /> Service AddreSS 3230—]/2 Norton Ave Utility Account R�o. <br /> Billing Address <br /> Cfly, State, Zip Permit Fee $ 10.0u <br /> �yy�� Houeing Nopn <br /> - Connection Charge <br /> ConnecNon by Trunk a <br /> Address Lateral $ <br /> Total Connection Charge S <br /> Phone Utflfty Development Fee <br /> Lepal Description: Water a <br /> �t Sewer $ <br /> B� Total Development Fee S <br /> Plat <br /> Unplatted Description: _ Sewer Bond District <br /> Abutttng Lot Line <br /> N, S, E, W }t. <br /> Type of PermR Cap off Approved By <br /> Remarks Issued By M�� <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-4245555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspection By <br /> Date Inspected <br /> � <br /> SEE SKETCH A7TACHED <br /> INSPECTION , .� 2 9 6 6 5 <br />