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,��:�ti..: . � � � L 'wj <br /> 4i <br /> .. :� <br /> CHART N0. � <br /> lYEIlff <br /> � <br /> � �� <br /> qiy of Ev�rttt ,i <br /> Sewer I�plication and Permit- <br /> Np. 25441 DATE �� <br /> S�rvice Addrcss_ �� �t'�1 i��� Utility Account No. <br /> Billirq Addren �= 1� � s•=• Permit Fee 1.50 <br /> City,5tate, Zip �t• � �� Connoction Charge(s) <br /> Ownw (Mortqapor) 4��r� �1ML Ow.ylst�tife Total Fee_.�•� <br /> Bfllinp Name <br /> Connection By <br /> '� � <br /> Add►ess Signed � • - , _ , <br /> � cu�tonxr� <br /> �lOI1B <br /> DESCRIPTION: Sewer District <br /> Lot � � Block_��_ -- <br /> Ptat_ Monthly Sewer Service <br /> Unplatted Description _Monthly Sewer Constr. <br /> Typa PermiT: Trunk r _ <br /> -'f /Lateral_ <br /> Remarks: � <br /> Abu:ting Lot Line ' <br /> N, S, E, W h. <br /> � <br /> Approved By A• �• � <br /> cnv erw�M« <br /> IMPORTANTI � <br /> Issued By s• �d <br /> CALL 1�00�424555648•HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION / <br /> Inspxtion Byy�� �P��"+D'� <br />� Date Ins�ected 7'Z 3'� <br /> I SEE SKETCM ATTACNED NO. ZJ441 <br /> INSPECTION I <br />