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I -CHART NO. <br /> !V!f!K <br /> e <br /> City of Ewrttt �SE.�; To ty.?cr�.d� 7/j�86 <br /> Sewer Appl'Kation and Permit <br /> No. 25603 DATE �cil 1S, lfs6 <br /> Service Address � �� Utility Account No. <br /> Billing Addras Permit Fee 2.'3� <br /> City,SUte, 2ip Connection Charge(s) <br /> Owner (Mortgagor) Total Fee �.SO <br /> Billiny Name <br /> Connection By - -= � <br /> Address Signed >>/ ��i�• � ,� -„ <br /> cu.temv <br /> Phone �s,{•� <br /> DESCRIPTION: Sewer District <br /> Lot � Block �1� <br /> Monthly Sewer Service <br /> Plat �t� pis i <br /> Unpletted Uescription Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �! <br /> Lateral <br /> Remarks: <br /> Abutting Lat Line <br /> N, S, E, W n. <br /> Approved By ��� 1 S�L <br /> Ciry EMineer <br /> IMPORTANTt <br /> CALL 1800�24•5555�8•HOURS Issued 8y Il�ea�e�t ! reiMd <br /> PRIOR TO DIGGING / <br /> �e 4 Ow ti <br /> CALL 2698611 FOR INSPECTION <br /> �0���¢c��t <br /> Inspection By -- <br /> Date In pestr ,( ,,,� f- '� <br /> SEE SKETCH ATTACHED N0. 25�03 <br /> INSFECTION <br />