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f � <br /> CHART NO. � � " �'� <br /> eve�en <br /> e � - {� ,,,p <br /> Ciq of Ewnu r�ST� II�� pO <br /> Sewer Application and Permit � <br /> N0. 23T31 ••p�••b.s �, 1950 <br /> DATE <br /> Service Address ��1� M�siAlan 1►t��f� Utility Account No. 7Sff9-� <br /> Billing Addrexs <br /> l.O. f�7t �1! Permit Fee �0.00 <br /> City, State, tip r�r�tt, 11a. l�03] �nnection Charge�s) 101.SO <br /> �►�r�taA s 1liflia�� �0.60 <br /> Owner (Mortgagor) Total Fee <br /> Billing Name ���r�t�A � Rilllaw• _ Os�isaae� i669-SO <br /> �r�a RI 721.00 <br /> Connection By ��M �y.��- <br /> Address Signed �/;�'� / " , �/ <br /> Customer <br /> PIIOnC �27-OIf� <br /> 6 fo�d I <br /> DESCRIPTION: Sewer District <br /> Lot 10 Block �.�0 <br /> Plat C��u 1i��� i�tal�• Monthly Sewer Service <br /> Unplatted Dacription Monthly Sewer Constr. <br /> Trunk 0.=0 107.50 <br /> Type Permit: �w CN��ttl�� <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> 19. M�[!�R <br /> Approved By <br /> Citv Enginen <br /> _, fead <br /> Issued By <br /> Inspection @y./���� <br /> Date Inspected � �z —� _ <br /> SEE SKETCH ATTACHED N�� 23T31 <br /> INSPEC110N <br />