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� \ <br /> CHART NO. <br /> eYerlll <br /> e ,�� � ��� . , �: , <br /> : , _ , <br /> `'�fi'a I�n��'�.7.; v- �fUtr,l� c5 <br /> Cllp of Ev�ntt <br /> Sewer Application and Permit <br /> NO. 26111 DNTE g �n a� <br /> Swvice Addrcss .3�0�_3�IQ0�}D4/�' Utiiity Account No. 675-109 <br /> Sflling Address 3403 Broadwav Permit Fee <br /> Gty,SUte, Zip Connection Charge(s) <br /> Owner (Mortgagor) Total Fee <br /> Sillinp Neme <br /> Connection By r.tr�, ef Fverrtt <br /> Add►eef 5�9�� Don Miller <br /> customer <br /> �1011l: <br /> DESCRtPT10N: Sewer District <br /> �� Block <br /> p��t Monthly Sewer Service <br /> ' Unplatt�d Demiption Monthly Sewer Constr. <br /> Typs Permit: Re air Trunk <br /> Lateral <br /> R.maiics: e � �Je " ee '_ <br /> i - Abutting Lot Line <br /> _/3 L�IC'$T O(-� NI K ir�! ?�a N. S, E, W n. <br /> � <br /> +�y� rJ„a r.-�- /J' _ yq � �q - <br /> Approved 8y <br /> citr eoyfoee. <br /> IMPORTANTI <br /> CALL 1�800d24-555548-HOURS Issued By <br /> PRIOR TO DIGGING <br />' CALL Z59�8811 FOR INSPECTION <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED No. 26111 <br /> CUSTOMER COPY <br />