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CHART NO. <br /> evered S�^'T Tn i�SPA►r'L <br /> e .� �. , . �, <br /> � <br /> � � � <br /> c�a or E��n � <br /> � o � <br /> m ., �. <br /> Sewer Application cnd Permi� .. $ , <br /> A � � � � <br /> NO. `'���0 DATE <br /> $ervice Address 111s �-•-�� Utility Account No. <br /> Billing Address �QDb O�Arr Permit Fee le eo <br /> �:ty,State, Zip �tt NA 99201 Connection Charge(s) <br /> Ovimer (Mortgagor) r- +��^*� _ Totai Fee_ le oe — <br /> Billing Name <br /> Connection By <br /> Address Signed_ c�m�� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot B��k Monthly Sewer Service <br /> P18t <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> PS ,� Lateral <br /> � �� <br /> Remarks: Abutting Lot Line <br /> 1^"y N, S, E. �y -- ft. <br /> 0 �/�_ <br /> Approved By L*��' �- ""'�r- <br /> Ciry Enpineer <br /> IMPORTANTI Issued By W�+qarsL-t-llss�"'� <br /> CALL 1�BOOd24-5555 46•HOURS <br /> PRIOR TO DIGGING <br /> i CALL 2595811 FOfl INSPECTIO�. <br /> Inspection By <br /> Date Inspected c <br /> SEE SKETCH ATTACHED <br /> NO. ���v0 <br /> i�!�pECTIL'"J <br />