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!Vl�ti <br />e <br />Gty of E�+ran <br />� <br />� <br />� � oQ <br />: J �S <br />�w .r a <br />Sewer Application and ���i� � <br />� <br />CHART <br />s!.✓> 7a �'/frP/_�T N�: <br />s_,.� -�' � <br />� INo. 25803 DATE �e/� � � � <br />$�rvice Address ���D� R� Utility Account No. <br />BillinQ Address <br />Permit Fee 2•� <br />City, State, Zip_ <br />Owner (Mortgagor) �M �- C�� <br />Billing Name <br />Connection By � � =0d <br />Address 110�9 v� f! swe+tt <br />Pl�one ��� <br />DESCRIPTION: <br />Lot r E � Block � <br />Connection Chargel <br />Total Fee Z.SO <br />Signed c�s�om�� <br />Sewer D <br />Monthly Sewer <br />Plat �=r.tc.-.n�-�►— <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />0 1 <br />IMPORTANT! <br />CALL 7500�24•5655 48-HOURS <br />PRIOR TO DIGGING <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By At'T� �' �L <br />City EnBinen <br />Issued By �g�t $• �j� <br />CALL 2595811 FOR INSPECTION <br />I nspectio n <br />SEE SKETCH ATTACHED <br />Date Insp4cted - <br />No. 25$03 <br />ir.�sarc-noi� <br />