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, y <br /> <br />No. l~ngloy~ <br /> <br /> $!~ ~vaiuaflon, Single F~nily Owellin~, first lot ........................................... ; ............................................................. <br /> Se~ EVa~ua~iOr~. Sba~le Fatuity, l:~rl~ir, tl. ea ~dl ICl ...................................................................................................... <br /> <br /> ge apoWan~iratiou-Ab~erption Synton .............................. : .............................................................. <br /> , Ct-ay ~ater DislX:,sal Sump ............ ; ................................. ; ..................................................... ' ........... <br /> NOlding Ting (C~mme~..t~t only) ........................... ; ........... ~. ........................... ; ........................... 357' 00 <br /> Pr~$~ur~ Di$1gbofion Sys~m ............................................... ~ ............................................................. $55_00 <br /> Ca~d,F'xl ~ ~ ............................................................. <br /> ....................................................................................................................... 31'/,00 <br /> <br /> T~ ¢ D~w~riu¢ S~,t~f,~a ........................................ ; ............. .~.~ ........................................................ 355 <br /> <br /> C. omr, u~¢ial MJ~ p.~p~ir ................................................................................... ; ....................... , , <br /> Single Family D'.v¢i~i~ Minor l,q~0~r (~ank onlf)_ .. : · ' .... "' ", .........7"" '"i~'t~ <br /> a) ........................... ::::::::::::::::::::::::: ............ Z::,.LZZ::: ......... <br /> .,%lfr~ra~o~ ................................................................... ;.**--.: .............................................................. 38~,D0 <br /> <br /> AutNx4zat a~ ~e d Visit ' 252 80 <br /> Authorlzolio~. No Field Visit % ................. . .122 ~^ <br /> Existing Sys~m lle~tt,.~ ~ .............. ~ .......................................................................... <br /> A,mual Evalu~tlo~'^l~4ma~i,~c ~m:...:::'" ' ...... .... "'"'-" ..... - '"'"':"!': ........................................................... · ..-- ..,.,,...~2.00 <br /> .,x.;.,m.,~j Ev ai*,.t~.tkm, L~'g~ Svilc*m .... ' ....................................................... " <br /> p~ . -- - ' ............... .-- · .......................... 125.00 <br /> rap or Desm,~ $~phon ...... . ..... ;'* '. ............................................. <br /> Pumper Truck Inspe~ion. Fir~ Vehicle ............. ' " ................................. <br /> Pmnp~r Truc~ Insp~do~, ~ &ddi6o~al Vc~ick. ................. ' · , 40 00 <br /> 2~pt~c I n~i;~.c'txon for wh~¢h ~ f~.~ ~ q~Clfially xn dt~q t~,d ,.......,::,:;,:; ................................................................................ <br /> <br />Name uf Applicant (P}ease Pfi,0: d ~ ~'~ ~-~844/~ l T'7~: <br /> <br />$100/500 gallops <br /> <br />-J. $2.SL.-q00 gallor~ _ <br /> <br /> <br />