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everen CHART NO.� l8'29-5 <br /> e :- � 1 <br /> �osS�D q - lq -80 - <br /> Gty of Eventt <br /> • • • � <br /> Sewer Applicat�on and P rm�t <br /> - � . <br /> NO. 23726 oATE �,�/�0 <br /> Service.4ddress 102� or��d <br /> Utility Account No. <br /> Billing Address Permit Fee ��� <br /> City, State, Zip Connection Charge�s) <br /> Owner (Mortgagor) Total Fee ���� <br /> Billing Name <br /> Connection By Cil� oi i��r�tt <br /> Address_ �n Mill�z <br /> Signed <br /> cuslomer <br /> Phone_ <br /> DESCRIPTION: Sewer District <br /> Lot_ Block <br /> Plat Month ly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: =�P�is Trunk <br /> Lateral <br /> Remarks: �� ��L , , _, <br /> � " Abutting Lot Line <br /> �' � �:.... .. �� ` �i .. , ,-�2_ /� �il�c N, g, E, W ft. <br /> � ���`_� �-� Al. /�_< < /�� /� ,, �. <br /> 7 . <br /> /l<�„ <br /> 8. N�rr�n <br /> Approved By <br /> ciry enp�nee, <br /> s. ioea <br /> Issued By <br /> Inspection By ��/� i/� . �, �'7�' <br /> Datelnspected- �' - ��l' <br /> SEE SKETCH ATTACHED NO. Z3726 <br /> INSPECTIOid <br />