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e•rered <br />e <br />aN or e�d,att <br />Sewer A�aplication and Permit <br />N0. 246HS DATE 11/�0/83 <br />Service Address 2�� 96th Pl�d S.L. <br />Billing Address_— 1��9 Brwaway <br />Ewr�tt, Na. 96101 <br />City, State, �ip <br />pwner (Mortgagor) BO�� F°�1t9 <br />Billing Name <br />Ca�nection By --- <br />Phone �s2—�166 _ _ <br />DESCRIP'ION: <br />Lot _ 6 Block <br />Plat Sunridq� Di�. I <br />Unplatted Description <br />Type Permit: Nw Conneation <br />Remarks: <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee <br />Conner.tion Chargel <br />Total Fee <br />7G�08-6 <br />�0.00 <br />330.00 <br />30.00 <br />Signed <br />custumer <br />Sewer Distrct__ — <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />INSPECTION <br />4butting Lot Line <br />N,S,E,W <br />lbnd III <br />6.50 <br />330.00 <br />� <br />Approved By �• R. Thul �� <br />City Engmenr i <br />E. BonA � <br />Issued By I <br />Inspection by � — l <br />Date Inspected � �� --- <br />rvo. 2468� <br />