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CHART NO._ <br /> eve�ett <br /> j/��d6 <br /> � �CRIl �ii �N14.fTiit/G <br /> �� <br /> IC.�L�/ Of EVl/l1LL <br /> Sewer �►.pplicotion and Permit <br /> No. 25315 DATE ��z 2S. 19s6 zo <br /> -� <br /> � <br /> Service Address ��ly � __ Utility Account No. �' <br /> Billing Address 16005 DMi� l/a� Permit Fee �•� �� <br /> City,State, Zip �. �• ��= Connection Chargels) — o m <br /> �0.00 c <br /> Owner (Mortgagor) Ml�w Msz'�aas Total Fee �' <br /> -1 c <br /> Or.fie�no� 117�-85 �� <br /> Billing Name �� <br /> 1ht�r 17f.00 m <br /> Connection By awrt 171.0.0 o z <br /> 650.00 a -� <br /> Address Signed � _ <br /> .,.. <br /> cu�tomer �1n <br /> Phone �'�� " � p <br /> DESCRIPTION: Sewer District �� <br /> Lot Block �' <br /> Plat Monthly Sewer Service $r- <br /> c �mi+ <br /> I Unplatted Description 17 3! � Monthly Sewer Constr. �,{'^ <br /> �m <br /> Trunk , a <br /> Typa Permit: A <br /> Lateral = <br /> a <br /> z <br /> Remarks: <br /> Abutting Lot Line �rt�� _ <br /> N, g� E, yy ft. N <br /> z <br /> 0 <br /> 1 <br /> �i <br /> n <br /> i APProved By �•�• �� I <br /> cirv enpmeer � <br /> IMPORTANTI � <br /> Issued By s' aO°� � <br /> CALL 1A00424•5656 48•HOURS � <br /> PRIOp TO DIGGING <br /> CALL�68�8811 FOR INSPEC ON � <br /> / <br /> Inspection � 4��� I <br /> pata Inspected '� — 3 ��� I <br /> SEE SKETCH ATTACHED No. 25315 � <br /> Ii�:SP�:'l II)f l I <br />