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_..�.._._._....._ _ _ _. _ __-_ <br /> � i .._ _� <br /> � CHA� N0.______ � <br /> evereri , _ <br /> �: <br /> �1: -• t ,i : <br /> r " ,c " ' ti, 1� <br /> . k�.'- . <br /> , �--• t;,�i <br /> � . i' . <br /> . - : . t�� !^�. <br /> . . . . . . ' . • - �. � � . 1-; t� <br /> C.1� O} EYl►�n- . . . . ,. ._ +e�.. - ',l,� <br /> e:.: .:.. <br /> . ��.1 . ... , ,ti� <br /> _ l . . . ti..:j . . 1 <br /> 7 <br /> Sewer APPlicution anc��Permit � I, � >: <br /> ; �.,, � � ; �� <br /> N0. 228g.� . DATE 1��SnarY 9, 1979 ' � <br /> Servico Address 1711 1lth Stswt - -iltilicy,A;. �upt tJo. <br /> -,: ., � _�i- .� „ <br /> �h� , _ .. . I0.04 `" +4 , a y{`Y <br /> BillinpAddress 1711.26th Stiss�t � . ParmitFee,�._.�..� ___ ��,..•• <br /> City, State, Zip �t' �' ��l Ccnnection.Chntgelsl_ <br /> Owner �Mortgagor) Cal�ary Lutheran Chnrch _ Totai Fee__ 1Q`�_ _ � <br /> Billing Name �I�ar7 Lutharaa Chnzeh _ <br /> Corinection By g•I•S. Conetru��tlon_ ^ � .__ <br /> :f�� ��n � <br /> lsox 4S4 Laka 5te•cena, 98.58 '' '` : ' ' <br /> Address -- ----- -____ . Signed�'_ ---_----.—�. <br /> c��.����r� <br /> Phone �3d-3G74 -- _` _^_._ <br /> �.. <br /> DESCRIP710N: Sew�r District,________. __..___.___ _______.� <br /> Lot_ 17 P,lock 22 r.uckere'e ist Plat <br /> ia�aker'a lft Monthly Sawer 5en����:.__------- --------� - <br /> Plat � _— <br /> Ur,platted Descript?on_ �__�_ __ PJlonthly Se�:zr Constr. <br /> - — -- -- i'runk <br /> l�ype Permit: alteration —-- - � —�— <br /> Laterai <br /> Remarks: <br /> ------- ---- ALurting !.ct I_ine <br /> I ,�, , �� `"�------ ---_._ _. _, fi. <br /> - ------ —� <br /> i <br /> — —---� <br /> --- — -- -' <br /> i <br /> ---- ----- Npproved JY�_ L^_i;er�alz�.9 -------- <br /> C.itYEngir.:�er " ' <br /> ---�—.._._--- -- — r. Ew::a <br /> - ---. �--. _ Issued By.,_. -----------•--- <br /> _ __. ----------- I .. <br /> Inspection 8v-=------------- <br /> -------------------- --.._��_ Datelnspected—.--- - <br /> SEE SKE'i-B!f A�TACHED P;O. �2��3 <br />