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everen <br /> CHART N0._ <br /> e � <br /> z, � <br /> � � <br /> Ic�ey or e��e � _ � <br /> I � . .� � � C � i <br /> � .. � � = <br /> Sewer Application an� Pe�t � :i ; �, � � <br /> = � � � � � � � � � � W <br /> No. 2672.3 pATE � � i � z � :a � � L`; 3x � � <br /> Service Address ��-� �� � ` ��� t ��J �� �'�' I Utility Account No. <br /> Billin Address_ ��2� � �n � u �'`—' <br /> g -�� «- ° � a � ��o Permit Fee 1 ci <br /> City,State, Zip_ Lv�r�tt iL Connection Chargels) <br /> Owner (Mortgagor►— Grol C�ltia Total Fee t10_00 <br /> Billing Name ■u. <br /> Connection By <br /> Address Signed <br /> cmtomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot 1�, Block _ � <br /> Plat l�alsra� L�tee�� Monthly Sewer Service <br /> Unpletted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> I <br /> Lateral <br /> Remarks: <br /> Abutting Lot I.�,,e <br /> N. �. E, W ft. <br /> Approved By ALPRLD R. TNIAi, <br /> C'ry Enpman I <br /> IMPORTANTI <br /> Issued By Sluron L. Narb I <br /> CALL 1-800d24-666648•HOURS � <br /> PRIOR TO DIGGING j <br /> CALL 269-8811 FOR INSPECTION I <br /> I <br /> _ Inspection By I <br /> — Datelnspected <br /> SEE SKETCH ATTACHED No. 26723 <br /> INCP[C1'ION <br />