23914 84TH AVE W.PDF111111111111
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23914 84TH AVE W
DATE: /t; -A; �/
MEMO TO: "�-- &J(:F-
FROM: Zye�-,-
SUBJECT: SEWER CONNECTION CHARGES
(Street Addr"ess)
�JIC,CI^A 6-,9,C/4-
(Legal Owner)
STREET FILE
Single Family Residence Subdivision Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
Z.F.F. Calculation:
H I Z . F. F. x 67,3-0 ) = $ 6 Connection Fee
Lateral x 30, ) = $ 30. e-D Lateral Charge
$ Equivalent Count
(when applicable)
.2- Unit(s) x($25.00 $ 0-2-1 Trunk Charge
$ Permit
s 7z TOTAL
St
TO
Date Time CAM,
-OPM
WHILE YOU WERE OUT
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Phone
Area Code �,Ntjrnbir ,Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
I RETURNED YOUR CALL I
M
4C rl
Operator
AMPAD REORDER
EFFICIENCYe #23-000