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CHART NO. <br /> eve�ett <br /> e �� <br /> City of Ew�tt T �'N.9,er.�G �/s3��s <br /> Sewer App�ication cnd Permit <br /> No. 25341 DAT� Nsw�s 20. 1l�S <br /> Service Address �u �� Utility Account No. <br /> Billing P,ddress_ �=e �� ri� s'�' Permit Fee �•� <br /> City,.�'itate, Zip��t� �' ��� Connection Charge�s) �.� <br /> Owner (Mortgagor► �r� �• �w Total Fee_�-� <br /> Billing Name _ Osdl�no� 11171-l5 <br /> aws: a71.Go <br /> Connection BY �� 1�.� iS0.00 <br /> Address_ Signed ` � �� - <br /> Customer <br /> Phone �' <br /> DESCRIPTION: Sewer District - I <br /> Lot_ � Block <br /> Monthly Sewer Service 6•� <br /> Plat i+��t ���hts—.-- <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 110•00 _ <br /> Typa Permit: � �� <br /> Lateral 490.eo _ <br /> Remar�s: <br /> Abutting Lot Line <br /> N� g, E, Vy ft. <br /> /- �� -- APProved By 11. 1. S7wa1 <br /> Ciry Enqinecr <br /> IMPORTANT! _. Bond <br /> Issued By <br /> CALL 1-BOOd24-5555 48-HOURS <br /> PRIOR TO D�GGING <br /> CALL259E811FORINSPECTION ;� <br /> Inspection By -� ��'P/�'� <br /> Date Inspected -�� 6� <br /> - � <br /> SEE SKETCH ATTACHED No. 2534�1 <br /> INSPGCTION <br />