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' CHART NO. _— <br /> everen <br /> � <br /> City of Everctt <br /> sLyT%O C��/�'T,f/C+ ¢� <br />' Sewer l�lp�plication and Permit '�9/` <br /> NQ ZS4GO DATE �� <br /> Service Address �q'=6 �'�' Utility Account No. <br /> Billing Address SBA1 iq�th 3wd 1►�ea�e Permit Fee 30.00 <br /> City, State, Zip Ewr�tt. ila. fe204 Connection Charge�s) <br /> Owner (Mortgagor) *__� �.�.��. Total Fee �0 00 <br /> Billing Name_ x.�. ��� 1171-tS <br /> K.ar ss.a <br />� Connection By �_ �s'� <br /> 102.05 - <br /> Address Signed <br /> cu:tome. <br /> Phone_ 252-7f�9 <br /> DESCRIF-IQN: Sewer District <br /> LOt�p,.0 Block �+�_ <br /> Monthly Sewer Service <br /> Plet... �.�,,,..,�r�,-�— <br /> Unplacted Description Monthly Sewer Consir. <br /> Trunk <br /> Type P�rmit: <br /> Lateral_ <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W_ �_�� ft. <br /> Approved By <br /> E <br /> IMPORTANTI <br /> Issued By s. e°nd <br /> CALL 1-600-024•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�6811 FOR INSPECTION � <br /> Inspection By;,�"..��y-�E�I�+dn <br /> Date Inspected �i -•� °' �� <br /> SEE SKETCH ATTACHED N0. �`�460 � <br /> If�SPEC-i IUN I <br />