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everen <br />� <br />C.Iij� Of �VBfCtL <br />S�w►er �pplicat;on and Permit <br />CHART <br />.SE�v7 Tc' C yAF:.f�nJ6- �/// /y <br />No. 25923 DATE Q�{-� 2A-��9�v`� � <br />Service Adclress _ Utility Account No. <br />Billing AddrEss� � <br />City, State, Zip <br />Permit Fee_ <br />Connection Charge�s) <br />Owner (Mortgager► Total Fee <br />Billi�g Name_� 11)/��/gb _a(�`� ppppN�$70 t:iY-i <br />. spectat Utltttr Fee Ore. it7t-es <br />Connection By___ MateP i'UWl?t1909.00 <br />Sere� [�u�_ 4?�:�d10cb <br />Address Signed � �p <br />c < <. <br />Phone � t;F'�'H �1.`� <br />—353=2� I:: :,'FG I 41 a.0� <br />DESCRIPTION: Sewer District <br />�I"Aty *�D.a7 <br />� RA ' � <br />Lot�_ 6•lock Monthly Sewer Ser�� �•� <br />Plat �h�, �llik�9� j <br />Unplatted Description Monthly Sewer Cor�i'�F• ���•� <br />ca�; tr �7ro.cm <br />Trunk 1i71-5 ty�Sp,1l�(1 <br />Type Permit:.,r, __-�.n-- Gf s.,.. c <br />CALL 190D-024•5555 4S•HOURS <br />PRIOR TO DIC.GING <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />ry r <br />Issued By <br />Y! fltiatl <br />Inspection By <br />Datelnspected �Z��J'� <br />II?S°rCTlOi�l <br />No. 25923 <br />