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� <br /> CHART NO. <br /> everetl <br /> � S��C -I-� t'as;11�� <br /> I /� -.. /�G <br /> City of Ewrott <br /> Sewer Application and Permit <br /> No. 27133 DATE � �il �, 1969 <br /> �. <br /> Service Address +»1 �r�y� ��_ Utility Account No. <br /> Billing Address �.�. Permit Fee �0.00 <br /> City,State, Zip �p«� p pqp� Connection Charge(s) Iloe� <br /> Owner (Mortgagor) p�����+ Total Fee �0.00 <br /> Billing Name a utiut7 Dn�lo�a�wt 1w otQ. 1171—K <br /> wt�r 22{.00 <br /> Connection By pt��� i1rM�-iw�� <br /> Addross Y pi�o-ii�l�i�wr!! Signed cwro�r <br /> Phone 7{]-1]�7 <br /> DESCRIPTION: Sewcr District �� I= <br /> Lot M Block <br /> Monthly Sewer Service_ <br /> Pl�t sd�Fi��..ti—''--- o <br /> a�osiev z:oear+ �iaouas�s� it-s� <br /> Unpletted Description Monthly Sewer Constr. � <br /> N000"t7f# <br /> Trunk �� ��� � <br /> Typs Permit: � ��� �� �-� <br /> Lateral��� ttlr tYl <br /> R�rnerlcs: I'lN �{ t2.27 <br /> Abutting Lot Line P. Skl�l t3.Sq <br /> N, S, E, W!: SRCl1 315.L�0 ft. <br /> (11tWY !ZO.W <br /> — iNl0llfl/,:",i1 <br /> HRTlR #60.00 <br /> NOOQ2713.z <br /> Approved By 1rW� t_ �(�P <br /> ! + i�^4.�— <br /> IMPORTANT! i:HEG( 11431.77 <br /> CAt.l1-800.124•555548•HOURS Issued By �.� �..e.� <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION <br /> Inspection By �"� <br /> Date I nspected �—'G—ff <br /> SEE SKETCH A'fTACHED Np, Z t 133 <br /> INSPECTIOfJ <br />