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CHART NO. . j <br /> eve�en <br /> e � <br /> o� of E�� � � s� 5� 5� s <br /> H � <br /> : :� � : � <br /> M <br /> Sewer A� ' t and Permit <br /> A ` ��� � � <br /> N0. LT�S� � DATE �1g.21. �son <br /> Service Address »16 C�das st Utility Account No. <br /> Billing Address �u� d� � Permit Fee 2.Se <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgagor) , � Total Fee �� <br /> Billing Name <br /> Co�nection By <br /> %: � � <br /> Address Signed ' <br /> cuftomer <br /> �IOfiB <br /> OESCRIPTION: Sewer District <br /> Lot B��k � Monthly Sewer Service <br /> Plet <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk � <br /> Type Permit: c�-oR � <br /> Lateral � <br /> Remarks: <br /> Abutting Lot Li�e <br /> N, S, E, W _Jt. <br /> Approved By L� �� <br /> Ciry Enqmaer � �. <br /> IMPORTANTI J tbakv�ll <br /> Issued By <br /> CALL 1�00�424-6556 48•HOURS <br /> PRIOR TO DI(iGING <br /> CALL 269A811 FOR INSPECTION � <br /> Inspection By �-- <br /> Date I nspected �''�'9e <br /> SEE SKE7CH ATTACHED NO. L�vJZ <br /> I fJSPCCTION <br /> 1 <br /> i � <br />