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CHAHT N0.�i �� ''-a -S <br /> everen , <br /> e <br /> city os Everen ��ST� 7=j—�p <br /> Sew�r Application and Permit � <br /> N0. 23626 DATE _Jun� 11, 1980 <br /> Service Address 1�2A Cedar _ _ __ Utility Account No. <br /> Bi�ling Address _ _._ _ Permi[ Fee °O°a �I <br /> City, State, Zip Connection Chargels) <br /> Owner (Mortgagor�_ Total Fce___none _ <br /> Billing Name __ <br /> Connection By_ City of flrarett _ <br /> Don Hill�r <br /> Address _ Siyned _ __ <br /> Cutlnrnir <br /> Phone ---_ ------ <br /> DESCRIPTION: Sewer Disirict <br /> Lot__ Blor.k --- Monthly Sewer Service____ <br /> Plat - — <br /> Unplaited Descriptinn__ ___ _ Monthly Sewer Constr. <br /> Type PermiL Trunk <br />, _ repair_. _ <br /> Lateial <br /> Remarks: - - - - <br /> --- Abuttiny Lot Line <br /> � N, S, E, W _ _ _ --- —ft. <br /> H. Harlan <br /> — Approved By __ <br /> Gly E��p�nrrr <br /> F:. Ibnd <br /> -��-- Issued f3y_ <br /> � � � �, � _i �J� � .. /-�r <br /> i .� - /' �� '�. �jv i.�/ "7�,. .Y - <br /> ' Ins fction B <br /> i;L /J ii . f ' P, Y =_ <br /> --- --. s-- -- - <br /> - ---- -------. _ .__--- Date Inspected % ,� ; � <br /> SEE SKETCH ATTACHED NO. Z36Z6 <br /> IN�NECTIO� <br />