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evereH <br />e <br />c�H o� e�aren <br />Sewer Applicati��n and Permit <br />No. 23625 <br />Service Address <br />Billing <br />City, State, <br />DATE <br />1001 Hlqhwr 99 tbrlA <br />900 ieQlar Plaa� BosLh <br />8Mtt1�� 11�, 98111 <br />6/10/Pp <br />Owner (Mortgagor) � ��t' QD• ' j%ij�-� <br />Billing Name �� <br />Connection Bv � ��� <br />P�s+rd. <br />Ka. ic�-i-a� <br />Utility Account No._ <br />Permit Fee �•� <br />Connection Charge�s) <br />Total Fee ��� <br />Address p•�• � 66317 �, ' � <br />�igned <br />BMtil�. I/a, 981N cus�omer <br />Phone <br />2�2-0010 <br />DESCRIPTION: Sewer District <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Mw Cone�etion <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />8. Nati'/lf <br />Approved By <br />Clry Englnex <br />E. SOlId <br />�SSUC(J Ey _ <br />�].,, � ` <br />1 <br />nspection By� Qn�. _ <br />. <br />iate Inspected rli ���- � � <br />N�� 23625 <br />