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CHART N0. <br /> eve�ett <br /> e � <br /> c��y or e�erea <br /> Sewer Application and Permit <br /> N0. `v348 DATE �p�Mr 21. 1987 <br /> Service Address��� �����3} Utility Account No. <br /> Billing Address e_� _ Permit Fee 10.00 <br /> City,State, Z�P Co�nection Charge�s) <br /> Owner (Mortgagor) J�y �`� Total Fee 10.00 <br /> Billing Name � _ <br /> Connection 8y���d,�� �l��e� _ <br /> Address Signed <br /> cus�omer <br /> Phone 9�SSi5 <br /> DESCRIPTION: Sewer District <br /> Lot 3i Block <br /> Plat Manthly Sewer Service <br /> Unpletted Description Monthly Sewer Constr. <br /> Typa Permit: Trunk <br /> lK�bilt Ftas ua��ct! <br /> , Lateral <br /> Remarks: <br /> Abutting Lot Lind4/c^IiH'7 2e':�1 pp[1�N7210 tl'It <br /> _ N, S, E, W__ / ft. <br /> li[ID(1t8Ei�"f <br /> 1'I.PG i10.W <br /> IIOIJU,2t.'H8 <br /> £d.4A:k' s1U.U0 <br /> Approved By_ �. �L <br /> I.ChY,e�o��ee.il�.( <br /> IMPORTANTI f4xMy�,;:bi3 <br /> CALL 1�800-024�665548•HOURS Issued By, iYiiLy B�ndBN-� <br /> ilIAJI.1�7 U.>4 <br /> PRIOR TO DIGGING L'F'l.iti 410.QQ <br /> CALL�69A671 FOR INSPECTION CIA-LY( !115.00 <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 26348 <br /> INSPGCTION <br />