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et�erett <br />e <br />City of Ererett <br />Sewer Application and Permit <br />No. 24005 <br />Service <br />6%i/81 <br />DATE <br />2607 8asri�os R��s�� <br />Billing Address 2112 larri�on <br />City, State, 2ip =��=�lt, ta. 9s201 _ <br />Larz��o� ■. llaib�oh <br />Owner (Mortgagor) <br />su� <br />Billing Name <br />saN <br />Connection By — <br />zsz-�aso <br />CHAflT NO. v 2�'zG-S <br />Utility Accoun[ No._ <br />30.00 <br />Permit Fee <br />Connection Chargels) _ <br />�0.00 <br />Total Fee <br />Ordi��ae� 66f-l0 <br />1r�a 2 221.00 <br />Signed <br />customer <br />DESCRIPTION: Sewer District <br />Lot 11-17 B��k S9f 5.10 <br />Plat <br />M1tOh�11 Lt�A Ce' • l�t Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />_ ___ •,-----'•�_ <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />11 R Th�al <br />Approved By <br />cnv e�y��eer <br />E ioad <br />Issued <br />Inspection By `�-� � <br />Date Inspected � � �' <br />No. 24005 <br />INSPECTION I <br />