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CHART NO. <br /> everett JJ / 1 J� <br /> • y�/i..("71��/LGA.fu.{i y /rjltl8 <br /> e �� � - � <br /> } <br /> b <br /> City of Everen � ° <br /> ' o <br /> ,� <br /> Sewer Application and Permit � , � � <br /> � <br /> No. 26566 DATE w� e. isee � � � <br /> Service Address �+ � pN��p� — Utility Account No. <br /> Billing Address <br /> Permit Fee_ 10.00 <br /> City,State, Zip Connection Chargels) <br /> Owner (Mortgaga�) — —•• Total Fee �0 00 - <br /> Billing Name <br /> Con�ectfon By <br /> Address SignGd � <br /> c�.m,�,�, <br /> Phone , <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unpletted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permi:: ��s s <br /> Lateral <br /> Remerks: <br /> Abutting Lot Line <br /> N� g, E, yy ft. <br /> Approved By <br /> i v �yio <br /> IMPORTANTI <br /> Issued By <br /> CALL 1�800d24•6565 48•HOURS <br /> PRIOH TO DIOGING <br /> CALL 269�8811 FOfl INSPECTION <br /> I�spection By --- �'A^� <br /> Datelnspected 3—��P� <br /> SEE SKETCH ATTACHED Np, 26566 <br /> If!fJ'i:r.�ili;': <br />