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I <br /> I <br /> CHART N0. <br /> Ieveretl I <br /> � <br /> e � � <br /> ; �,�, of ��e�tt <br /> I Sewer Application and Permit i <br /> � <br /> NO. Z6618 DATE ..,-____T_+�___?�"e� <br /> Service Address a'+1 lo�� n1 sp Utility Account No. <br /> BillingAddress_�p» V_ ASlv�t r�ti. M_ Permit Fee �o_oo <br /> City, State, 2ip awr�tt � 98208 Connection Chargels) '+�e_oo <br /> Ow�er (Mo,tgagor� s+ne saok�r Total Fee 70.00 <br /> Ordinance 1171-85: <br /> Billing Nume � p^^*�* Mataz 179 <br /> Isever �71 <br /> Connection By gG50 <br /> Address Signed _ <br /> c,�s�o�, <br /> Phone 337�Z702 , <br /> DESCRIPTION: Sewer District EonA II2 I <br /> I lot � Block � <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description�� Monthly Sewer Constr. i <br /> 1!'.�'i' :.i�. i.: I'JNI1NNIiiii�b-,.li i I � ', I <br /> iA`�i,ot.of� rrunk I <br /> Typa Permit: Nev Oonn�ction n�wii ;. � I <br /> � Lateral i_ A ;. �y� <br /> Remarks: �t��, �.,,�,�� <br /> Abutting Lot LineYIII � ii i'�:..i15 � <br /> N� S� E� yyl: titi'll .'ii ft, i <br /> id0.Lij','i r,l <br /> lu ��; aSSl.�il1 <br /> I Itla� 4r(I.fNI <br /> �d i il , .�.,�n: <br /> � APProvedBy Illli.11 .v�,.';�� � <br /> e , , � I <br /> IMPORTANTI � �� �� �����p� <br /> Issued By►'4t ' ET�i!" I <br /> I CALL 1�SOOd24�6655 48�HOURS �. . ii�l� � �� ����11� <br /> PRIOR TO DIGGING "��^,�'• �'��'+'��, �;� <br /> ICALL 259�88t I FOR INSPECTION ,� � <br /> i Inspection B <br /> L� <br /> I ___ _ _ ___ Date lnspected� � <br /> SEE SKETCH ATTACHFU No. 26618 <br /> � ' �i . . � <br /> I <br /> � <br />