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CHART NO.S '1'Z.�1'S <br /> everetl <br /> e <br /> c��r oi e�.►.n P�sr�D 3/2S/� <br /> Sewer Application and Permit R`� <br /> N0. 2�408 DATE _� <br /> Service Address y��( - _�c�[�;� Utility Account No. <br /> '�" <br /> Billing Address - ���J� '� • Permit Fee ��� <br /> City,State, Zip � /'� �'� Connection Charge�s� <br /> Owner {Mortgagor) '� - 7otal Fee� <br /> , . <br /> Billfng Name -- r J <br /> Connection By ! - <br /> Address��__% / /' �' _ Signed_ i <br /> a„iam�, <br /> Phone _ <br /> DESCRIPTION: Sewer District_ _ <br /> Lot �( Block <br /> Plat - ' � Monthly Sewer Service_ <br /> Unplatted Description_ Monthly Sewer Constr. <br /> - Trunk <br /> Type Permit: <br /> _ � Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> -- ---- N, S. E. W _ /t. <br /> — Approved By _ <br /> Gtv Engmaer <br /> — --- Issued 8y _ � <br /> i <br /> - �/� <br /> _ _ Inspection By � '��%" �'� <br /> i <br /> _. _ _ Datelnspected�� ���� <br /> SEE SKETCH A7TACHEO N0. 23409 <br /> INSPEC710N <br />