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evereri <br />e <br />Gty oi Ewrstt <br />Sewer Application and Permit <br />N0. �v493 DATE � �_� i�� <br />Savice Address �+•�,��r-�! - Utility Account <br />Billiny Address +��i�rM �i07 <br />City. Sfate, Zip , � �,^� — <br />Owrnr (Mortgegor) <br />Billinp Name ; -- <br />Connection By <br />Addnu <br />}hone <br />CHART NO. <br />�-�'�a C��d St�g�88 <br />Permit Fee �p,M -- <br />Connection Charge�s) �, M - <br />Total Fee +.� �.. <br />�tt S�eLi plilltY � �d. 1171-85 <br />wl�s 17f.00 <br />�r 1T1.00 <br />6I50.40 <br />Signed �', _,_i .i ;��": (,i.� <br />customer <br />DESCRIPTION: Sewer District --� � — <br />�' B�OC� Monthly Sewer Service <br />�I�t <br />Ueplattrd Description Monthly Sewer Constr. <br />PKmit: <br />IMPORTANTI <br />CALL 1�BOOi24666518•HOURS <br />PRIOR TO DIOGING <br />CALL 269�811 FOR INSPECTION <br />SEE 5KETCH ATTACHED <br />Trunk 1�•� <br />Lateral *�-� <br />Abutting Lot Line <br />N, y, E, W n. <br />Ulfi4/88 3�4�7P11 UOOANBB09 #2# <br />! <br />Y00019228 <br />9LD13 f349.5U <br />Approved By ��� �• �� <br />IE�M E�aMM24.00 <br />H SRCH l3.9D <br />Issued By �i�5.U0 <br />01lUIN {20.I1f1 <br />N00026Q93 <br />FiEI�R 0.'i0.0lJ. <br />� { IfY.Q <br />Inspection By �� -ro <br />Date I�spected ��'��� <br />°�ac No ��93 <br />INSPECTION <br />