Laserfiche WebLink
I�HART N0. <br /> everctt � � � <br /> I <br /> e <br /> cny or E�n <br /> S�✓T %n Cr'i➢F:�/!r 7/f�Bb <br /> Sewer Application and Permit <br /> NO. Z56OZ DATE 1Wri115 19� <br /> Service Address_ll]s ��' Utility Account No. <br /> Billinq Address Permit Fee 2 � <br /> City,SWte, 2ip Connection Charge�s) <br /> Owner (Mortgagor) Total Fee 2-'� <br /> Billiny Name <br /> Connection By ��► �� — <br /> ,.�,J � <br /> Address Signed � ' cW�o�� <br /> Phone <br /> " DESCRIPTION: Sewer District <br /> Lot 3 B��k 73� Monthly Sewer Service <br /> Pl�t <br /> i Unpletted Description Monthly Sewer Constr. <br /> ; Trunk <br /> Type Permit <br /> Laterel <br /> r R���i� Abutting Lot Line <br /> N S E W_ k. <br /> Approved By iu� � '1'�� <br /> ciry enyfneer <br /> IMPORTANTI Issued By <br /> CALL 1800 4243555 48�HOURS � <br /> PRI6 TO DIGGING �u'� ,/O w^ � <br /> CALL 259�8877 FOR INSPECTION Mb ���JQ w � ~ <br /> Inspection By r i 'Y� <br /> Date Inspec - � <br /> SEE SKETCH ATTACHED N�, Z5602 <br /> IfJ�P[CTICN <br />