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everetl <br />e <br />City oi Ewrett <br />Sewer Appl'Kation and Perr�it <br />NO. 26494 DATE �_ �2• 1%� <br />�� q�� i21t t1Mt�4 �• Utility Account <br />Billi�q Address ui� s. 3�Ca i107 <br />GtY, State, Zip Natt1�. Y f�10] <br />Ownx (Mortgagor) �'0� <br />Billirp Name � <br />Conmction By � <br />Add�as =� <br />�� � �M �7��� <br />, DESCRIPTION: <br />Block <br />CHART <br />�¢^-� �a (v��° ' ��3 0/88 <br />�. <br />Permit Fee =a•� <br />Connection Chargels) ��•� <br />Total Fee �•� <br />�p�oial Rllitir 1M Oed. 1171—�5 <br />Ml�s' 17l.00 <br />471.00 <br />�SO.00/ f, <br />Signed <br />j�--I rl /'/''r ,.r�l� <br />Cusmmer <br />Sewer District � �a = <br />Monthly Sewer Service <br />De�cription Monthly Sewer Constr. <br />PKmit: <br />Ranarks: <br />IMPORTANTI <br />CAL� 1�800�4Z4�66664C-HOUNS <br />PRIOR TO DIOOINR <br />CALL 269�BN FOR INRPECTION <br />_ SEE SKETCH ATTACHED <br />- :�- <br />Trunk 110•00 <br />Lateral �f0•00 <br />Abutting Lot Line <br />N, S. E, W ft. <br />01/19/88 3�4iPM OOOAr6B07 t�Rt <br />J <br />N0000568i <br />Approved By �_�'�L <br />SE1t7t �70.00 <br />Issued B�y � � <br />IIOODI9?24 <br />BLDB /l f.i49.S0 <br />I nspection <br />Datelnspected E <br />INSPECTION <br />►, q►, <br />