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evereH <br />� <br />City of Ewrs . <br />S@Wer <br />� <br />n �` ?8�3F��8p 8 8p8o8 <br />» ��h�Y'] �l = .� AM'O] <br />� � M w M ` w <br />� <br />App�icatio� d P� �'t � <br />.. a� <br />� ������������ <br />No. 27369 DA� �b�e 2S. 1!�! <br />Service Address ?pyp Yw � <br />Billing Address_ ���� ������ � <br />City, State, 2ip �y�ts� p �'� <br />Owne► (Mortgagor�—� -,.� �w.. :�i�e <br />Billing Name_— ��` <br />Connection By ��*r�.._ <br />Address �� ii�Y �r�. N iwe�!! <br />Phone�� ��� <br />Utility Account <br />CHART N0. <br />SENT TC� PosT�N6 <br />�� 9�i/ <br />a g Z,�-s <br />Permit Fee �0.00 <br />Connection Charge(s) »0.00 <br />Total Fee m.00 <br />Otil:tp D�w1o�pNt 1N pid, 1171-�5 <br />tle wqr 22�.00 <br />�wwr SM.00 <br />�u.00 <br />Signed <br />cwtomx <br />DESCRIPTION: Sewer District <br />Lot il Block <br />Plat Monthly Sewer Service <br />:+Na�s-�Ly� <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />flemarks: <br />IMPORTANTI <br />CALL 1�00324b665 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2698811 FOR INSPECTION <br />SEE SKETCH ATTACHEO <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ ft, <br />Approved By �n i. �1Qar. <br />Ciry Enpneer <br />Issued By sunr_laeo�n <br />Inspection B� <br />Datelnspected._ <br />No. 27369 <br />INSPCCTION <br />