Laserfiche WebLink
� CHART NO. <br /> everen <br /> ` � ,$'E,rr Ta GH.o,er„ls <br /> / - 27 -�i <br /> City w I�:�uett <br /> Sewer Application and Permit <br /> NO. �'J4`�� DATE 11�eeA 7. 1!s[ <br /> Service Address_ u=S �� �� � Utility Account No._ <br /> Billing Addras_ �� 1�� $t � Permit Fee �•� <br /> City,SW'[e, Zip �• � ��� Connection Charge�s) "- <br /> Owner (Mortgagor) �� ��0� Total Fee �•� - <br /> swwr un�T4�s . - <br /> Billing Name �� �O� Eiaql� Lrl.lY rnlA��w wt�s i22�.00 <br /> Nr+r �aMpt <br /> Conn��ction By �'� �O� . <br /> _.` ' l �. <br /> !'y' //J . ... � /�� L <br /> Address »22 1�lh it �1/ Signcd �� , , �� �, <_ <br /> customrr <br /> Phone ��='s� <br /> DF.SCRIPTION: Sewer District <br /> Lot s� B��k Monthly 5ewer Service <br /> Pi�t l0�wox Mld�r+ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typn Permit: 11wr Oo�etiai <br /> Lateral <br /> Remsrks: " <br /> Abutting Lot Line <br /> N� g� E, yy ft. <br /> I <br /> Approved By �ls�A R. i�ai <br /> cirv E'w��eer <br /> IMPORTANTI W���i � �� <br /> Issued By — <br /> CALI 1�00424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION <br /> Inspection By � � <br /> Date Inspected /O-3i- F6 <br /> SEE SKETCH ATTACHED No. 25497 <br /> ; INSPECTION <br />