Lakeside Park Permit to connect to sewerSOUTH TAHOUBLI UTILITY DIST/ T PERhhI a3UrONNIF`TTO G� SEWER N°
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PERMIT VOID --60 doy. offer dote I .... d�r ATE
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Mailing AddresP jC^J//� � Tellers
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Let No. Block No.
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Tract '°1 /�3 Y1C y.r ...✓
Porcel Number 7 _1?- �%10 Q�
A.aaasmenf Number /li7�.wa
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TOTAL UNITS
Service Charges /
Permit Fe -
Saddle Fee
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TOTAL CHARGES
Cemmerdal Nee—
Old
Connection Approved By
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6206 �{
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Residence New_ Old_ Number of lnepecUen• , k, �1Y '
Septic Tm+k on Lot Ye. No X E.ha In,.&I.ne Billed - /l/p ♦ r
SEWER SERVICE CHARGES BEGIN UPON CONNECTION BEING OK'd BY OUR INSPECTOR