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. CHA,9T NO. <br /> � evereN <br /> e � <br /> � <br /> � <br /> � <br /> City of Ererett Q '� ? � <br /> :' ? � r � <br /> .y .� w .. <br /> Sewer Application and Permit � , � � �, <br /> �; � � � � <br /> , �, ., a �. �+ <br /> No. 27534 DATE *.w.�.�. _� iem � � `JS � � 3 <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee �•� <br /> City,SWte, 2ip � Connection Charge�s) 2�•� <br /> Ormer (Mortgagor) Total Fee �•� <br /> Qtllltr D�7�lepret iNi <br /> BillingName �=��17 �71.00 <br /> � , <br /> Connection By <br /> _�_ <br /> q�� Signed <br /> cu:romv <br /> �IOfI@ <br /> DESCRIPTION: Sewer District <br /> Lot Block Nlonthly Sewer Service <br /> Plst <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk �]� Op <br /> Typa Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By 1►iZISRD R 7'�1►L <br /> Citv Enpineer <br /> IMPORTANT! <br /> Issued By �Q�� L llctwoA <br /> CALL 1AOOd24-5555 48•HOUHS <br /> PRIOR TO D�GGING <br /> CALL 259-6611 FOR INSPECTION <br /> Inspection By ���/''"""� <br /> Datelnspected � � �� <br /> SEE SKETCH ATTACHED Np, Z7S3Y <br /> I�<5PLC1li)i; <br />