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Sewer Application and Permit <br />No. 26098 � DATE <br />87 <br />CHART NO. art- zS <br />%S fc <br />t - L -5 - zj <br />Service Addr is 1 ac FL, rj <br />� o a I I/lo'E Fe Lc� � <br />Utility Account No. <br />Billing Address_ <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address_ <br />Phone <br />DESCRIPTION: <br />LotBlock___ <br />Plat <br />Unplatted Description <br />Type Permit <br />Remarks: <br />IMPORTANTI <br />CALL 1-800424-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 2-9948811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Pcrmit <br />Connection Charge(s) <br />Total Fee <br />Signed <br />Customer ��_� <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W__ <br />,,, il'i <br />Approved By <br />City Engineer <br />Issued <br />Inspection <br />==JDat=Inspected '� <br />NO. 26098 <br />CUSTOft1Gli COPY <br />