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CHART NO. N 3� �24 s <br /> i r,c �;-'L`�1- t�� <br /> evereq <br /> e p�� �1 <br /> Citp of Ewrsa f �S�v� ? �u'a+ <br /> Sewer Application and Permit � <br /> NO. 23474 DATE ��/ / � <br /> Service Address � � Cn��T Q '�� Utility Account No. c� <br /> Billing Address ��(Lit-���(Fl�"�� Permit Fee � � ^ <br /> City,State, Zip �"rpc� �.✓fi-SN' 9 �-''3 ConnectionChargels) <br /> 0 <br /> Owner (Mortgagor) �-f1' ��fq ��✓��PrCi S�S Total Fee_ �� <br /> Billing Name �Q'm� <br /> Connectiun By — <br /> Signed� ° <br /> Address c�:w�� <br /> Phone <br /> DESCRIPTION: Sewer District ���nf 'c/Yv <br /> Lot_;1 � 2� Block � Monthiy Sewer Service <br /> Plat ��, �'�^ � P/�'� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> r <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N S E �y ft. <br /> Approved By�..—�-� - 'y <br /> Cuy Engineer <br /> Issued By �! ���N*� <br /> Inspeclion B � • <br /> IDate Inspected���2� �° — <br /> SEE SKETCH ATTACHED No. 23474 <br /> INSPECTION <br />