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CHART NO._ <br /> everetl �-f,� � -�� < <�.�t �n-� <br /> e ,� _ , _ `�1 <br /> c�� ot e�eron <br /> Sewer Application and Permit <br /> NO. L���� DATE Mot�olrr 2A. I9ao <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee la-� <br /> City.State, Zip Connection Chargels) <br /> OMmer (Mortgagor) � 1N11� Total Fee 10 00 <br /> Billing Name �� <br /> Connection By Q� ��� ���• <br /> Addreu 2520 Oo1L7' 1►� Et�z�tt Signed J <br /> eu c��o�� <br /> Phone 2Sf-B1�S <br /> 11!�/fN, 3:14PIi OOORM8954 t�t! <br /> DESCRIPTION: Sewer District � <br /> qWO:?il? <br /> Lot B��k Manthly Sewer Servfifi� s1C 00 <br /> Plat GIEG; t10.00 <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W n• <br /> Approved By ���'» * *��* <br /> CitV Erpineer <br /> IMPORTANTI Issued By �^; ���nq�n <br /> CALL 1�800d24555548•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED No. 27417 <br /> I�JI ECIION <br />