Laserfiche WebLink
i <br /> �_ CHART NO. <br /> everen <br /> � �/eo PoS�-,�- t�b i uMMS REO, <br /> Gty of Ererstt �Q �(� ��Q (]/� <br /> '� � D <br /> Sewer Application and Permit ��r.M4R Z � i9B9 <br /> r Cr. ........ <br /> w�er�� cv,;,��,`�� �r..... ... <br /> N0. Z6956 DATE � ' J � � ,. . <br /> S�rvice Addreu � �__,__,_i1_'S—�� L7�--- Utility Account No. <br /> r <br /> Billing Address Permit Fee <br /> City, SWte, Zip Connection Chargels) <br /> Ovmer (Mortgagorl Total Fee <br /> Billing Name <br /> Connection By r � ��/ n � �-''J�' r � '�"�' <br /> Address Signed c�:�o�. <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service_ <br /> PIK <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> � ii <br /> Rem�rks: � � •J <br /> , , ," Abutting Lot Line <br /> N S E W R. <br /> �� � , , . <br /> , <br /> Approved Dy_ <br /> City Engmeer <br /> IMPORTANTI � ,� � �� , � JN Y <br /> Issued By <br /> CALL 1�800�424•5555 48�HOURS <br /> PRIOR TO OIGGING �A �� <br /> CALL259�8811 FOR INSPECTION X /n�� ,f� ��/ <br /> / tf <br /> Inspection By� _ O _ � � <br /> Datelnspected <br /> SEE SKETCH ATTACHED Np, 269SV I <br /> I;TILiTY BlLLING � <br />