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I Receive_. By: __ -- -- Saleal, OR 97301 U ~ <br /> ARION QOUNTY <br /> <br /> 2. Co~trac~ ln<or~t~n <br /> <br />Commeroal (I~bD~ly Sewage Flow) Residential $,!,lO gle F~l~ily ..... <br />S{~ EvMu~u~, ~, addl- 5~ g~l DSF ~-~ l0 ~n 81m Eval~fi~. ~ addL 1~ I6~,~ 20-~) <br />C~epi~g ~il] 330,~ 10 ~ ~I~y W~Ict DJ~I Sul~ ~5,,~ 10,~ <br />D,~ Tr:.~~ in S~pr~i,~ ............. r 2~,~ i0:~ ~ ~Ol~i.g T~k ..... <br />G~yWatotW~Di~guu~ 95.0 I0.~ ~eD~i~on 2~0,~ 1O~ <br />.... goldlngTa~ 2~,~ 10.~ .... Redu~a~ ........ 2~ 10.~ <br />~t~p SIo~ '" : ~,~ i0.~ ~ Mt~ra6oo 2~ <br /> <br />6~. ~ i~l ~ ,~v, ........... ~ .~ ~ ~o~uo. ~t <br /> <br />~p~r,~n~ ~ 10,~ Au~i~i~n N~ <br />Cons~ue6o~ Pe~,t Ren~fl'~V~) ........... 12ff~ 10 ~ Exisung ~'~te~ EvMoaH~n ,1~,~ IO,~ <br /> <br />N ME APPLIC (pkase pti t): ' <br /> <br />< p4'I will call wt~n T~t ]I~le~ D~g <br /> <br />( ) I am ~f~ming work on a prco~rly I own or ~py <br />( ) Iatn a registered b~al0~r or ( ) th~ aulhofized <br /> <br />DATE: <br /> <br /> <br />