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evere� <br />e <br />cit�r ot five►ett <br />i} <br />; <br />� <br />� ����� <br />Sewer Applicatio�� and Pe�r�it <br />., , , <br />i= �� - � <br />�=-�� �� <br />NO. ZssSl �� :-= � � � �' � <br />UATE wv 16' 196& <br />Service Address <br />Billing Address � lcei A aro.r,uy, <br />City, State, Zip *h+++t�, �► 98za1 <br />Ovmer (Mortgegor) �*e��d/ h ^•tt <br />Billing Name s••• <br />Connection By <br />Address <br />Phone 25�"�^^ <br />CHART <br />._ -ff., (!.-7, ;,r /�_i�_�,a <br />Utility Account N <br />Permit Fer 10.00 <br />Connection Charge�s) <br />Total Fe�� 10.00 <br />E <br />Custome� <br />DESCRIPTION: Sewer District <br />Lot�y Block �� <br />Monthly Sewer Service. <br />PIOt -'-��:5�„ r�_� � t.. �aw <br />Unp�etted Description Monthly Sewer Constr. <br />Trunk <br />Type Permit: t Aaw hou�e to �xistin service <br />Lateral <br />R�marks: <br />IMPORTANTI <br />CALL 1-800-024-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />n <br />Issued By <br />Inspection By ��*'��"�^'''�'— <br />ft. <br />Date Inspected /� 3-F` _— <br />NO. 26b��. <br />ii��:Sr �C�TIOfJ <br />