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lYt�li <br />e <br />City of Everatt <br />Sewer Application and Permit <br />No. 25593 DATE �►Pri110.19�6 <br />Service Address s� �r �t Util�ty Account <br />Billing Address 10'� ■ *� Dr <br />CitY. 5tate, 2ip—�rtl. W1 li20� <br />CHART N0. _ <br />SF�✓T TO CN,q2T/.�IG <br />/2�30 �96 <br />Perrnit Fee ]0.00 <br />Connection Chargels) �se�ot <br />Owner (Mortgagorl_ �� e�ltos/NlahMl bartuttTotal Fee D0.00 <br />Billing Name �w p�� �t'^a 1�0�� Ie�c. <br />Connection By �� � �� Ilw� La. <br />Address 1054 ■ lasfc Ds. Ms�tt lS307 <br />Phone =Sl-2950 <br />bp�aial fps, Ordla�sce 1171-e5� <br />It�t�z 5179.00 <br />Signed ` � " - . � <br />cu:amer <br />DESCRIPTION: Sewe nistrict �eed II <br />Lot�_ Block <br />Plat Monthly Sewer Service �.. <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1�800-024-555548•HOURS <br />PRIOR TO DIG(iING <br />CALL 259�8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateraf <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By � Afi71m 1t 'ltiR11L <br />city Enpineer <br />Issued By <br />I nspection By � �� � ��N <br />Date Inspected ��--��—�� <br />No. zs5ss <br />INSPGCTION <br />