Lakeside Park 5-20-68W� C.c,ao4 a ssy/
SOUTH TAHOE P LIC UTILITY DISTRICT PERMIT TO CONNECT TO SEWER - 6207
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PERMIT VOID 60 d
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Osm., n�� '/�J�I�R� �J� Kitchen
Mailing Address q� " '� '�� J �ppt� i Toilets - ^
S� e" Disposal. �
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Let No. gx� / Black N^ other '
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Treat L.:t.— TOTAL UNITS
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Parcel Number —� "�r �� ,n / �Permit F--
A .swam ant Number _ Saddle Fee
Contractor ($ewer) @ j/Ar{D� J TOTAL CHA GEa
Cemmerdal New_. 01 Connacfian Appro.cd a✓' �
i Residence New_ Old_ Number o(laspectlaas C-3v
Septic Tank on Let Yee_ No Extra Inspections Blllea
SEWER SERVICE CHARGES BEGIN UPON CONNECTION BEING OK'd BY OUR INSPECTOR