Laserfiche WebLink
. <br />!Y!f!i , <br />� <br />City of Ewrttt <br />t,k�,r c�. � � � -� <br />Sewer Application and Permit <br />No. 235T0 <br />DATE <br />,L ��.: �=.�� <br />Utility Account No. � �� � � � <br />-- L?. c � v <br />Permit Fce ------ <br />Connection Chargels) � � � � C'' <br />CHART NO.� 6 -� - S <br />PoST� g-�.� <br />%� <br />Service Add►ess <br />� - . � ,�[ / I,(,/,tnF :� l%. <br />Billinp Address � � `// % '/� �-�' L :'. �'•��'rJ L_.�-: �:.� <br />�- �� c..� �r / �', i � r. �l d <br />City, State, Zip <br />Owner lMortga9or) � i r c � � � ..,�. � , `'� � <br />Billing Name r iI - :1 f , r ; . � . : ; , � ti / <br />(' le� i�.�.;;�:�..- <� (-/ c,�(_L•� <br />Connection By � <br />%.-/i L�_ .��.:. � ('� �'� _ <br />Address ' <br />Total Fee -"� � < <� <br />Signed � c�:�om�. <br />Phone � � �" � <br />' Sewer District � ` ' "'' � '— <br />DESCRIPTION: � <br />�at y_! Block Monthly Sewer Service ` -'� � <br />Plat �/'t . ,�; ,� r. d 4 — <br />Unplatted Description f� ��� j �-`� � �� Monthly Sewer Constr. <br />— Trunk C , % �_' 1! � . :. <br />SEE SKETCH ATTACHED <br />Lateral - � � <br />4butting Lot Line <br />N, g;�E, W <br />Approved By /-� /' , r f c_•._! <br />Ciry EnqinM <br />INSPECTION <br />1..--P1-i.:l�ii /-l��.: ��: <br />Issued BY�— <br />�� �� � ��L� <br />� � � � <br />� , v�� <br />�. �. ., . �1 <br />No. 235T0 <br />