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Get KS 12159 2015

PLETION (Check one) YES CITY NO ZIP CODE Nothing Done/ Permit Only Dirt Work Only Foundation Complete Framed-In PROPOSED COMPLETION DATE WORK PHONE CELL PHONE ( ( ) CONTACT NAME ) CONTACT PHONE NO. RATE INFORMATION Inside City ( TYPE OF SERVICE (Check one) ) Residential Service Residential Multi-Unit No. of Units __________ Non-Res Multi-Unit No. of Units __________ Non-Res (<200 Mcf Annual Small General) Non-Res (200 – 1500 Mcf Annual Large General) Non-Res (>1500 Mcf Annual.

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