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���{� CHART N0. <br /> C N i <br /> everett <br /> � <br /> �� � � TO POSTING '' Z� 9 I <br /> �x� City of Everen <br /> � �7 <br /> 0 <br /> ��° g Sewer A�plication and Permit <br /> �y��H c r� <br /> g�' p.� N0. �v��G DATE —_�l"'Abar 29 1907 <br /> H�� <br /> y� Service Address��-^----•--m�- Utility Accou�t No. <br /> o y Permit Fee <br /> Billing Address_��� . <br /> City,State, Zip�T�pr-1l9292-- Connection Chargels) <br /> I, Owner (Mortgagor) . Total Fee <br /> Iep�cid ULtli�y T�as, Ord. 1171-BS� <br /> Billing Name vatar 179.00 � I <br /> eewer 71.00 ,-' <br /> Connection By_g�--- SO.Op '1 <br /> Signed ,'� !r'� ( ( l.�l. i <br /> � Address -- ilrNbvti7 I:a,T'M INAJ�lq74:i :t ' <br /> I — / i <br /> � Phone 1N7�N5lfl lltAniifl(lOH I <br /> �C�� I Sewer Districl�� y�� t�5.5(1 '1 <br /> � DESCRIPTION: �4S.W <br /> Ir � LotT-- Block— MonthlySewerServtKd:�� ����'�� <br /> Plat ar ���ro_�M�__ f: SF`1.7� !�.'.;0 <br /> l �� I Monthly Sewer Conitr`a�'�t� 41�.W I <br /> Unplatted Description�� �-- ���� �^p,�p <br /> � � Hlock 1 Batetly Raes 'lY��t�_Div Ho. 1 Trunk 1fi1000'S57U � � <br /> �, Type Permit: � �p�sction IJ��If� �h511.f�0 <br /> i ,_�, -- Lateral iNl�l(�Lbj60 <br /> ` ;iLl[R 430.00 <br /> Ramarks: Abutting Lot Line�yA 11 �7`�'W I <br /> N S E W II'i1-� 1•55:'.IIU it. I <br /> �� U INi 4�n9.00 I <br /> — f1fa; S45.fIU <br /> — - i�11:11 !`.ii.UU ! <br /> I � � ----- APProved By 11.t1 i'H Inett s lZt�;i _ �' <br /> r <br /> ' 1: �,r;Vi �.�t'S.IA1 ' <br /> �� IMPORTANT! IA+t!'.' "::U.lp1 � <br /> Issucd By <br /> I `1� I CALL 1A00-024�555548 HOURS �,t Ul P., .. t {I.!IU �I <br /> l� PRIOR 70 DIGGING . `�� � .,. .�� ���� <br /> CALL 259�8811 FON INSPECTION I � �i�'�� �r.'dI.IFI � . <br /> � , � <br /> I InspectionBY : .�.� 1 <br /> _._--- - .. ._. _ � i <br /> - —------ _- - Datelnspected � � � ei � <br /> SEE SKETCH ATTACHED N0. G��vZ II <br /> i <br /> � �:' !� '. <br /> I <br />