HomeMy WebLinkAboutSewer Tap Card- Lot 7 Block 2, The Springs at The Preserve Application
For
Sewer Connection
INyfA �.`'!' Sewer Tap Permit#I 20256
SFfi 1N� Date F70=
Owner: Connie Storrer Q
lContrartorl Lancaster
Service Addres I Street/PO Box: I Ext Dir
1532 Clear Creek Loop
Lots 1. Block 1
Subdivisio The Springs at the Preserve,a PUD
Annlirant I Connie Storrer
Refund Addres I Street Name/PO Box I Ext Dir
--0
Ism State Zi
_ ID
Inspection Fee I $0.00
Permit Fee:I $15.00
Refundable Inspection Feel $0.00
Capacity Fee I $0.00
Date Paid Capacity Fe
Other Fees I Fee Note: ❑ F $0.00
Total Collected I $15.00
Fees Paid B
Recei t#
Date Receipted into Compt I By
Inspection Complete I Sewer not insnPrtPd but active I ❑
Line Terminatio I �! Feet Fro
J See As-Butts I ❑
Date Approved By Inspector I
Remark
Refund Date: r FAmounjr7o.00 BI r
Building Permit I r— I Buildina Permit Dat
Copv to Custome l ❑ I Recorded on the Pig I ❑
*TO RECIEVE YOUR INSPECTION REFUND
PLEASE CALL THE CITY WASTEWATER OFFICE
AT (208) 736-2281 FOR INSPECTION WHEN THE
TAP IS COMPLETED. IF INSPECTION IS OUTSIDE
NORMAL WORKING HOURS THE REFUND WILL
BE FORFEITTED.