HomeMy WebLinkAbout2401 BUENA VISTA CIR; ; SE842354; PermitAPPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
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BUILDING kq-O/ 4z& $Ism L!//q-Ld ADDRESS
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MAILING ADDRESS 1 1 CONTRACTOR
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CONTRACTOR'S ADDRESS I I
NEW BUILDING I EXISTING BUILDING 1
LEGAL DESCRIPTION
REMARKS: 4,
LATERAL LOCATION
ST. 1 I
LATERAL NO. I NST A L L AT I ON DATE
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DATE ISSUED SI zi !
VAL1 DATION i
LATERAL CHARGE COMPUTATION
5" ;+yr II
Max. H. 30', V. 10')
OVER30'H. FT.
OVERlCJ'V. @ FT.
STANDARD 6" (Max. H. 30'. V. 10)
OVER 30' H.-@ FT. ,'
OVER 10'V. FT.
TOTAL CONSTRUCTION COST ?
SERVICE CHARGE (REPAVING ETC.) n 3~ VI. v
TOTAL LATERAL CHARGE
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LINE COST DATA
TOTAL
OTHER
CONNECTION FEE
TOTAL ' COST PER UNIT NO. UNITS
'L-. . .. -_ )N"TE: Engineering GREEN: Finance YELLOW: S_anitation, PINK=GOLDENsROD: Permitter