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CHART NO. <br /> evereft �,cv� ,— �o ,��s� ��S <br /> e ��_ «_ ri•r <br /> c;H ot e�e�tt <br /> Sewer Application and Permit <br /> No. 27344 DATE a�h'r �. i989 _ <br /> $ervice Address_� Utility Account No. <br /> Billing Address <br /> Permit Fee 10.00 <br /> City.State, Zip Connection Chargels) <br /> pNrner (Mortgagor) Total Fee 10.00 <br /> Billing Name�_ <br /> Connection By <br /> ; , . <br />� Signed — <br /> Address c�:�o�� <br /> Phone <br /> Sewer District 10iLNi/b"T (ts"lia �Hb1��9A-�-t�$ <br /> DESCRIPTION: � <br /> Lot Block Monthly Sewer ServAlPf•""''�" <br /> Plat SEI•1El? 11U.i�� <br /> Unplatted Description Monthly Sewer Con�7344 <br /> �.LIJEl2 �ff1.!Al <br /> Trunk rl 'PP �"'n-�fl� <br /> Type Permit: <br /> Lateral <br /> r <br /> Remarks: ° k <br /> Abutting Lot Line <br /> � ¢ J. N, S, E, W ft. <br /> � � <br /> � <br /> � N � Approved By �"�D � '�' <br /> City Enyineer <br /> IMPORTANTI Issued By 5►�!Y f!�4'° <br /> CALL 1�900�424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED No. 27344 <br /> I NSPECl-ION i <br />