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i <br /> � <br /> i <br /> CHART NO. <br /> everefl I <br /> e = � � � <br /> . �. +�:, ., �� _._� � ' <br /> , <br /> c�cy or e�e.en <br /> i Sewer Application and Permit � <br /> No. 26751 DATE _ Julv 1, 19ei3 <br /> � Service Address Utiliry Account No. <br /> � BillingAddress PermitFee 1n.�� — <br /> i <br /> � City, State, Zip Connection Chargels) <br /> II Owner (Mortgagor) Total Fee�— ! <br /> � Billing Name � <br /> i I <br /> � Connection By <br /> Address_� Signed c�:�o�,er <br /> I <br /> � Phone�y� I <br /> ! Sewer District <br /> � DESCRIPTION: I <br /> Lot Block Monthly Sewer Service j <br /> i Plat j <br /> � Unplatted Description — Monthly Sewer Constr. i <br /> I i <br /> Trunk_ � <br /> � Type Permit: i <br /> Lateral — , <br /> I Remarks: ! <br /> � Abutting Lot Line I <br /> �� �J� $, E, W�� � i � •u<<•n �iu+e, t1 .�t: � <br /> I <br /> F:nini<e,�;l I <br /> �i 1+�I� : I 0.i p i �i <br /> �:i[9f tUl.(K1 <br /> — Approved By <br /> Cny npmeer I <br /> IMPORTANTI ' <br /> Issued By_�,?Lug�u <br /> � CALL 1�800�424�5555 48�HOUflS � <br /> PRIOR TO DIGGING <br /> i � ,1,.. r� 114,�j�' � <br /> o �., �. , , <br /> i CALL 259-8871 FOR INSPECTION <br /> IInspection By I <br /> I _ Date Inspected �� ��Y <br /> SEE SKETCH ATTACHED N�• G� �J� <br /> � I��. . rr ; i.,�� � <br />