HomeMy WebLinkAboutPermit Miscellaneous 1969-01-03CITY OF SPRINGF'IELD
APPLICATION AND AGREEMENT TRUI{K Llt'lE SEWER HOOKUP
Application is hereby made by the undersigned property owner for permission
to connect to the following described property to a trunk line sewer owned and
maintained by the City of Springfield, and I agree to pay such a hookup charge
of $3.40 per front of the property for the first ll0 feet in depth to be served
by such trunk line sewer in lieu of an assessment against the described property.
An additional $0.02 per square foot will be charged for any additional property
beyond the first ll0 feet.
Property Description:Address: 200 South Hi I I Street
Sprlngfield, 9regon
Sse ettached legel descriptlon.
Sewer hookup charge: ($f.+O per front foot)S 23q - 7rl x 3l^lrO r SSO!-q2
This agreglelt has been computed as being one-hatf (*) of the equivalent costof an eight (8) inch lateral sanitary sewer it the."tu'ii.$3.40 per abuttingfront foot and does not include the cost of a house connection to said trunk sewer,sewer user charges, Plumbing permits or other such costs to be assumed by the pro-perty owner"
c NGF E D
By /NCz1*-,
Da te:
STATE oF oREGoN )
)
County of Lane )
BE IT REMEMBERED,
the undersigned,
appeared the with
SS
That on thi
a Notary P
I n names
of -i l-u^-1 19b1, before me,,d State, personal Iy
known to me toJe
wi thin instrument
voluntari ly.
the identical individual
and acknowledged to me t
..i descr i bed ihat ll,j exec
n and who executed the
uted the same freely and
t'/lTNEss my hand and seal this day and year last above written.
otary Pub tc
My Conrnission I res
PROPERTY OWNERS: