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CHART NO. <br /> everen <br /> � r as-zs-� <br /> SE�-�%To G:�a,�-.ti��� <br /> 8-5-8� <br /> Cny ot tvanet <br /> Sewer Application and Permit <br /> No. 25816 DATE Ararst 27�f996 <br /> Service Address ��'� Srll1llLY�� Utility Account No. <br /> BillingAddress tf1 . 1tncA � Permit Fee ;p �p <br /> City,State, 7ip _ N�r�r11L Y� 9R?7f1 Connection Charge�s)_jjp pp <br /> Ovmer (Mortgagor)_y�y�,�q.�w Total Fee � e = <br /> Speet�l Ut111 <br /> Billing Name SY� ter D0� <br /> ' Seww�� <br /> Connection By y•� <br /> �'" ` i`LGG ,+ S.OU <br /> Address Signed ' � ' � ` <br /> PAone i52 Oiflt G SRCH i l.!'iD <br /> �, .• e s�a+ s�s.uo <br /> DESCRIPTION: SewerDistrict �*�r �=��•� <br /> � �� <br /> Lot��f_ Blcck Monthly Sewer Serv�� 5400.W <br /> PI�t ���_ f1000,'`SBib <br /> Unplatted Description__ Monthly Sewer Con4iHMT 5.30.fA1 <br /> �ra�zti sru.ou <br /> Type Permit: Trunk 1171-�4Sip�(q <br /> u�t�: s.�3 . <br /> _i Lateral 460.OQ <br /> Remarks: <br /> Abutting Lot I_ine <br /> _ N, S, E, W ft. <br /> Approved 8Y_�� ���1 <br /> 'ity�Enpinen <br /> IMFJRTANT! <br /> CALL 1�800-024•555548•HOURS Issued By �,� ��� <br /> PRIOR TO DIGGING <br /> CALL 2595877 FOR INSPECTION --� / <br /> Inspection Bv—� C�t�//+s�f.r <br /> Date Inspected S-d�-G� _ <br /> SEE SKETCH ATTACHED Np, 25816 <br /> ItJSP[:CTIOP: <br />