Laserfiche WebLink
'(��" ' <br /> .rv4. <br /> CHART NO. <br /> � !Y!fl11 <br /> � <br /> e � <br /> � g gg <br /> City of Ev�rttt � p /� <br /> r N M• `�Fi'!J� 7C� C�FJb'TiNU ��/��BI,__ <br /> M <br /> Sewer Appl'Kation a� � it <br /> No. 25865 DATE v <br /> Service Address � �� Utility Account No. <br /> :1�- <br /> Billing Address ' �- Permit Fee �� ! <br /> City,State, Zip �� Connection Charge(s) <br /> i : c.�-- <br /> Owner (Mortgagor) ' `- Total Fee ` �� <br /> Billing Name <br /> Connection By l�• � � \ r��f �,� / � <br /> 1 �i <br /> Address_ i _ ry , Signed -fr' -��---�'': ,.�f ,�y -• ;•� <br /> ' - . ... ' Cus�omer �. <br /> Phone (,� �"", <br /> ��(:•,d� - �> 7 .� .� <br /> DESCRIPTION: Sewer District <br /> c <br /> Lot ; " ' Block � � <br /> Monthly Sewer Service <br /> Plat . . - ; . . , <br /> Unplatted Description � � � •�ti Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ; �,V ik� � / <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, yy ft. <br /> Approved By l���c''1f=j) >'� r l�`i `//L <br /> citv enpfoex <br /> IMPORTANT! I ���,1 ' <br /> ISSUedBY J�`!�t/I! /i/( _ -S�r ��('.Ii�,T_ <br /> CALL 1-BOOd24�6555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�8617 FOR INSPECTION r <br /> Inspection By � �*6e/M*" <br /> _ bate I nspected �' -�� -K <br /> SEE SKETCH ATTACHED No. 25865 <br /> I P1SP ECTI ON <br />