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Pt. <br />iAL DESCRIPTION: <br />City of Little Ccncdo <br />Permit for Sewer Service Connection <br />R f rry <br />Sewer <br />Water <br />Date <br />/ ER \ ADDRESS .._9 c-,.. gist <br />(1,,.>F Fes' -'r) ADDRESS <br />NTRACTOR v 1L ° I ` <br />.1 HONE NUMBER Nature of Bldg. <br />LOCATION — <br />(Distance from nearest downstream manhole) <br />DELK <br />71,r ) �J_. ^F ,t <br />0,,.1 ✓..,..,w If. ,�tC..J,.i <br />fi» �tY <br />ri ien and b4erai »ess000is and 'Septic "Tanks must 'ere <br />ranks muse oo Inlets 'see sewer connection gees aver <br />S r. E '!_UMBING <br />'FIDE :E'VER <br />;fynoa <br />- 1 9 - <br />)C to /P_Ai "`M 7•:1R:. )C_r'NuiiT <br />f; LIEF -,,z i j•� <br />y, <br />:Date ._ <br />'0r "tie (..P/ ,)1' _.tile .aiaCi! <br />APPROVED <br />DATE <br />REMARKS — MATERIAL USED <br />Lr,GE PROPERTY: <br />'NYE in Main <br />. Main to Property Line <br />. Street <br />■ <br />Permit <br />ROPERTY: <br />. Inside Plumbing <br />Outside Service Connection Completed <br />DELK <br />71,r ) �J_. ^F ,t <br />0,,.1 ✓..,..,w If. ,�tC..J,.i <br />fi» �tY <br />ri ien and b4erai »ess000is and 'Septic "Tanks must 'ere <br />ranks muse oo Inlets 'see sewer connection gees aver <br />S r. E '!_UMBING <br />'FIDE :E'VER <br />;fynoa <br />- 1 9 - <br />)C to /P_Ai "`M 7•:1R:. )C_r'NuiiT <br />f; LIEF -,,z i j•� <br />y, <br />:Date ._ <br />'0r "tie (..P/ ,)1' _.tile .aiaCi! <br />