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everen <br />e <br />City of Eve <br />Sewer <br />� <br />� <br />rett � 88�SS�8 8 <br />: ��N«�z'3�' � <br />Application anc���rmi _. " a <br />� ����!������ <br />No. 25735 DATE 3.'�lY ���b3mu � <br />ServiceAddress �n�� e• <br />Billing Address �++e _ ��.��.� * _ <br />City, State, Zip .....—� r+ e�+�• <br />Owner (Mortgagor)�--- ..T <br />Billing Name Q--- <br />Connection By �li�w s ONst�swt�w� <br />Addresspp �,�i��6 <br />Phone__ �-�;��_— <br />CNART <br />SE.�T Ta C�//✓i 7i.U!r <br />J-is-,g7 <br />888 <br />r <br />��� <br />b� <br />Utility Account No. <br />Permit Fee_ +n_m <br />Connection Chr.rge�s) .:.� <br />Total Fee �n_nn <br />Sp�eial fNs. Ozdin�no� 1171-ES <br />vat�r only 224.00 <br />Signed <br />DESCRIP'fION: Sewer District �a I= <br />Lot _ 13 Block — <br />Plat _fi,;.�.+.�._g�+qytj __ Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�800�424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By_ur*e� �,.;=np s �u, <br />Ciry Engineer <br />Issued By ti.��ti & llrLod <br />Inspectie� R� �`l� <br />Date Inspected � " � -�� <br />No. 25735 <br />INSPECTION <br />