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�everetl <br />e <br />c�ey or e�erea <br />Sewer Application an�d Permit <br />No. 26193 DATE Maq S, i9e� <br />Service A Jdress 808 - lo5th rl sa <br />Billing Address 1077 c ]hfek�r ww sniv B1S <br />City, State, Zip Enr�tt. NA 982�1 <br />Owner (Mortgagor) Ji� uora <br />gilling Name sas. <br />Connection By — <br />Phone LM7]11A <br />DESCRIPTION: <br />Lot s <br />Plat �'-�_ e._. ...- -�— <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1A00-424�555608�HOURS <br />PHIOR TO DIGGING <br />CALL259A811FORINSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee <br />Connection Chargels) 7�0.00 <br />Total Fee 30.00 <br />8pecial Utility Fe��, Ord. 1171-95� <br />vater 179.00 <br />�aver 471.00 , <br />; 650.00 , <br />Sig�ed — `'� <br />cuftome� <br />Sewer District eond II2 <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, 1M"'�r 'u^ 47%S'F•N IYYY11151J? Ikl t <br />bllUtll l'al'? 1 <br />k9Jn� 44Y;.111 <br />F1.la, 15`i.DO <br />Approved By Ifl � IN.TRTJ! � 04'F�J1i. <br />1 ���' L�4ineer$� >. � . <br />il �iF1:H ! l.�iU <br />Issued By ►1�k�YYt sa1WdA _ <br />I�'VW'I S�.0.f10 <br />{fl MY11 k,'J: �ti <br />Ill..i `� ';.`5_Illl <br />Inspection By—�i3Il]i,-_ ' <br />nt�� ,�� / <br />Date Inspected__���11U g <br />�.F����� ''��i153 <br />i � , i �,rvo.t� <br />;�cir u• , <br />