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re <br />City of Er atc <br />Sewer Application and Permit <br />No. 25319 DATE LIMBS <br />2M .11hi... Avia... <br />Service Address Utility Account No. <br />Billing Address P.O. ltas Tom Permit Fee 30.00 <br />City, State, Zip_ sell~~' ~' 111�01 _ Connection Charge(s) <br />Owner (Mortgagor),a.1111. C=Wbwkfaer Total Fee 30.00 <br />Billing <br />ateil.ewea► $U-n <br />e40.tI0 <br />Connection By <br />Address Signed= �?rr' Jc i,. <br />Phone 644-9790 <br />DESCRIPTION: Sewer District >wastba�e <br />Lot U-n Block UA <br />ft. Ala s Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Mar Caemselso <br />Remarks: <br />IMPORTANTI <br />CALL 141IM424MM 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2594MI1 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By �� a. !bail <br />City Enpin <br />Issued By X. and <br />Inspection z�f <br />Date I nspected <br />No. 25319 <br />INSPECTION <br />