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lYertlt <br />e <br />City of Ew►�tt <br />Sewer Appl'Kation <br />No. 25739 DATE <br />Savice Address a =711 Qsrd <br />.� <br />� <br />� �� <br />00 <br />w a <br />c� P�ermit <br />s�.. �9� <br />Billiny Address 27u � — <br />City, State, Zip ��� � ��1 <br />Utility Account <br />CHART NO. <br />SE';vT To CN9�'riw/(r <br />/0-8 -gb <br />Permit Fee 10 O� <br />Connection Charge( <br />Owner (Mortga9or) r� �� Total Fee <br />Billing Name s� <br />Con�cction By �� �� <br />Address SOW 1�Otl� t! w1 s�sd� 9Y020 <br />Phone <br />DESCRIPTION: <br />10.00 <br />�,, <br />i� <br />/ e�� � � �`�`�-� ,����� <br />Signed_�, c�+co�� <br />f,,. <br />Sewer District <br />Lot �— Block Monthly Sewer Service <br />�n <br />Unpletted Description Monthly Sewer Constr. <br />Permit: <br />Remsrks: <br />IMPORTANTI <br />CAIL 7�00�24-6555 48•HOUHS <br />pR10R TO DIGGING <br />CALl258S817FORINSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />� N, S, E, W <br />Approved By �� � �L — <br />City Enqineer <br />Issued By M��t = ��Oa <br />Inspection By.�1 � �O a'l �� — <br />Date I nspected � — � � � F� <br />INSPECiION <br />No. 25739 <br />