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CHART NO. <br /> everetl <br /> e <br /> City of Ever .c <br /> Sewer Application and Permit <br /> No. 26364 naTe �-�, •m-�:-- — <br /> Service Address �l�o �.�.��* :��, Utility Account No. <br /> Billing Address �--- _ Permit Fee +�_ <br /> City,State, 2ip �w-tLwi� ��n+ Connection Charge(s) <br /> Owner (Mortgagor) rb..�w y�wp � + '- ' '--�� Total Fee�;� <br /> Billino Name_ '.r <br /> Connaction By e--- <br /> ; , , <br /> Address +•» .�n. n....w �4y�� Signed , , ' <br /> Customer <br /> �lOflB rr� e»��sn <br /> DESCRIPTION: Sewer District <br /> Lot �o-u Block—�—•� <br /> Plat e� �r.r.tie Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: qp pt! — <br /> Lateral <br /> Remarks: �O <br /> Abutting Lot Line <br /> � � N, S, E, W ft. <br /> 10/Olrf.'^, 8j 'a(�N iJUiklNi"�7U tikl <br /> / <br /> — -- N0001$�9? <br /> Approved By u! ' ' .'�f�� <br /> 5C1 R � l2.50 <br /> IMPORTANTI �,�� �,�p <br /> CALL 1-800d24-555548-HOURS Issued By <br /> PRIOR TO DIGGING <br /> CALL259�88!1 FOR INSPECTION <br /> Inspection By <br /> Date Inspected __ <br /> SEE SKETCH ATTACHED NO. 2636a' <br /> INSP[CTIO� <br />