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c.uc.� r I <br /> . �+� <br /> `Zc.a I <br /> City of Fv::r�tt I <br /> Engineering Oepartment . <br /> � <br /> ��,'�'��'�i' ����I�CCl�i�?'I C�1G`it'� ��'e�rl'11� <br /> P��. O DATE' J __ i <br /> 2 0 8�1 . -2=�2`Z. <br /> Service Addressl�/ 2 ,�`�����• �����J/_� Utility Account No. ' -'-- <br /> Billin Address�/// �� � <br /> g � � Connection Permit Fea._ �J �' ''� <br /> City, State, 2ip..(�l�� J' (�/,� Connection Fee - ---` <br /> -,,' ' •' � -) <br /> `. ___ <br /> Qwner (Aio�tgannrl /fi-- ''�=--'-"4v_�"" ' ' � `_ Totai Fer_ -_---- --�-. ----- <br /> Biliing h�ar�e_�1!%' <br /> . <br /> Cor�nect.iun 6y��ir-' � ���� <br /> /� ��;. �. . <br /> Address 3.,..���� �/�-�i_ 'ff� / .- � ' Si ned <br /> �� 't-1,`�'--� � -----•-,=- 9 — <br /> .,_ .� ci,io.-,r, <br /> Phone��=�� � __ <br /> , <br /> DESCRIPTION� � Sewer District - '- -"` '- <br /> '� <br /> L.ot - -- _ . <br /> � ,- MonthlyS?�verService.__ ..__—____.. <br /> Block._���- _ , �,�/"� <br /> � y 'r'� l�/:�- <br /> D:•.ision ar Addition���� ./-_:� . MonthiY Sewer Cons:r. <br /> Type Permit: % � �'s-- � Trunk - <br /> --- �"//l/-..�--b< � --- <br /> � Lateral <br /> Remarks: <br /> - Abutting 'Lot Line <br /> N, S, E, W ft. <br /> - --- � � . <br /> i y; /� <br /> ---- APP�cved by_.LL���/�����f <br /> Gtv Enginear <br /> — — � <br /> ...'___—_ "_"__ . �SSUBO �V__— <br /> —'—'______�— ' — � <br /> __ .__-- ---- _� Inspecuon By <br /> a <br /> ____ ___ . �Dat: ln;pected <br /> SF.E SK.ETCH ATTACHED Np• 2Og91 <br /> 'fRcAS�;RER <br /> _ . <br />