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CHART NO. <br /> eveirett � _='--� <br /> l� .. , . r� � j <br /> � <br /> Ci f Evere� � <br /> Sewer Application and Permit <br /> No. 25512 D TE � � / I <br /> /G�//5 �"�'�«/l� 9;/ <br /> Service Address � ` � �' � �- ` {_'` i;`_. `.`'. ' Utility Account No. � <br /> �� <br /> •��c. � 1 !. �:.,.� �- - Permit Fee � <br /> Billing Address _ , ' <br /> � ,<_ ;_ <br /> �_ . ��-r_� , � %' i%: � Connection Charge(s)_ <br /> City, State, Zip �l. � <br /> ' � l,�-� � c �: Total Fee_� �� <br /> Owner ;Mortgagor) �� ' � <br /> Billing Name �� i % i:; :t_ <br /> Connection By <br /> Signed ��' �-��_--� — <br /> AddfeSS Customer � <br /> Phone --�; ' <br /> DESCRIPTION: Sewer District '`-`—" — <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk I <br /> Type Permit: / W- -�O� <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved BY �ity Engineer <br /> : <br /> IMPORTANT! ( -' �-• , � : � �� <br /> Issued BY / <br /> CALL 1�800-424•555548-HOUFS � <br /> PRIOR TO DIGGING <br /> CALL259�8811 FOR INSPECTION �(�������^ <br /> Inspection By� r����""""` <br /> Datelnspected �'-�3�i�s� <br /> SEE SKETCH ATTACHED <br /> No. 25512 <br /> I P!SP[CTI ON <br />