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- . <br /> �� <br /> CHART NO. <br /> everet! <br /> -�, ,� �� � ' � � <br /> e ��t_ <br /> c�ey or e�em,c � � �� `1 <br /> 5ewer Application and Permit �� '� <br /> , <br /> C' i <br /> � :; <br /> NO. 23238 DATE �% %I� ,� <br /> Service Address ��� '� %� T � Utiliry Account No. <br /> Billing Address Permit Fee <br /> City,State, 2ip Connection Charge(s) <br /> Owner (Mortgagor) Total Fee — <br /> Billing Name <br /> Connection By � <br /> Address / � Signed � <br /> cu:tomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> �ot _ Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: �� <br /> Abutti�g Lot Line <br /> DY.��uCP N, S, E, W ft. <br /> ��, — <br /> !�� 7 � -- -� <br /> �s�ow,-6,-v.-''',-� --�*-� _ . i" / <br /> Approved By <br /> Ciry Engineer <br /> Issued By ' - i� .- <br /> Inspection By f/� ,��(!� <br /> Date I nspected 7- y 7 � 7 % <br /> SEE SKETCH ATTACHED No. 23238 <br /> INSPECTION <br />