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Utility Company Approval
WATER Comm SEWER /l RES METER SZ. M/F IRR i �U • ©(/ SECURITYDEP SERVICE FEE SAME DAY FEE. OVERTIME FEE METER INSTALL.' CFCA4VATER FPUA CFC CFC/SEWER � GUAR. REV. 1 lL f/ LATERAL j OTAL Exterior Features View: - ExtType: - Grade: - StoryHght: - Interior Features BedRooms: 0 FullBath: 0 1 /2Bath: 0 %A/C: 0 Special Features and Yard Items Type Y/S Qty. Units Qual. 51. LUlall. UV VIN KY U XMK11L0 - NAME Q ACCE # 10/7 SERVICEADDIWSS SUBDIVISION Sdh BILLINGADDRESS iQ g ,Ife-1'lf1 . '5179 LOT BLOCK hMP f 9n i �►- ss g N - mac,.( rY,-(�)Paa-c l I-V 33q-b g PHONE #'� K!` T"t ! �5/ MOVE INICLOSING DATE 2icaZioaerebyxequestThis appand authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay th tilitypromptly for'such services in accordance with the established rules and regulations. �STOMERS DEPOSITS ARE NON NEGOTIABLE ORTRANSFERABLE. 11 RoofCover: - RoofStruct: - YearBlt: Frame: - EffYrBlt: PrimeWall: - No.Units: SecWall: - Electric: - PrmintWall: - HeatType: - AvgHt/Fl: HeatFuel: - Prm.Flors: - %Heated: 0 %Sprinkled: 0 Land Information Cond. YrBIt. No. Use Type Type Measure Depth 1 0000-Vac Res OF -Site 1 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED.