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� <br /> i <br /> i <br /> � t <br /> CHART NO.L� �Z`� � <br /> , e"vereft - j <br /> e � � . � <br /> %os�-ecf 2 - 9p <br /> City of Ewntt ; <br /> ' I ' <br /> Sewer Appl'Kation and Permit � ; <br /> i <br /> N0. 26981 DATE 1�- i6 � 9 <br /> Swvice Address �� � � HLw�t f AI/1� _ Ucility Aaou�[ No. <br /> Billinp A�as <br /> Permit Fee , <br /> City,S Zip <br /> Connection Chergels) � . <br /> �� ( ,��) Total Fee <br /> BNlinp N�rne <br /> Connection BvS��}`� o F E v e �• e t�' <br /> Addresf 5��� custo�wr <br /> Phone <br /> t DESCRIPTION: Sewer District , <br /> Lot B��k Monthly Sewer Serv�ce � <br /> Pl�t <br /> U�pl�tted De�criptio� Monthly Sewer Corntr. <br /> Trunk <br /> S Typ� PermiC Fi <br /> i Lateral <br /> R��i� Abutting Lot Line <br /> N, S, E, W — n• <br /> � � r <br /> i <br /> Approved BY c�ry E��.« <br /> L-^' of N .N • - <br /> � IMPORTANTI Iswed By �d N � � 1 I�-Y � <br /> CALL 1�800�24b666 A8-HOURS j <br /> PRIOR TO DIGGING <br /> CALI.269�817 FOR INSPECTION <br /> Inspection By <br /> Date I nspected ��� � 7 — a ry <br /> SEE SKETCH ATTACHED N0. 26981 <br /> UTILITY aILL.iNG -- -- <br /> , __ . . . . _ � <br />