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evereH <br />.� <br />City of Evaren <br />Sewre�r l4pplication a�xd Permit <br />No. 26395 <br />DATE � - z � - � � <br />Service Address �� I 8 �JF 1'i f S <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor►_ <br />Billing Name <br />Co�nection By� o F C v� �- t <br />Phone <br />Utility Account No. �n 7:'� "�(J G <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />Signed <br />cmromer <br />DESCRIPTION: Sewer Distnct <br />Lot Btxk <br />Plet Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: R e�i F� �,r <br />Remartcs: Qp Lq c e� S i[% SQ wQ <br />rnA�,v fo P/c w:f� 6" � <br />J38 ' S. �.! /nh/ Q�� <br />, <br />, <br />, <br />S� e Se.w•ti� @ P'e v�p . 3 <br />IMPORTANTI <br />CALI 1SOOd24-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-6811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />'i rUnk <br />Latera <br />Abutting Lot Line <br />N, S, E, W h. <br />Approved By _ <br />cicv erro�near <br />IssuedBy � i M i I l�� r <br />� • . L,�i ' � / <br />� — - <br />7. ' �� �� � • • I <br />• <br />• <br />UTILITI' �ILLING <br />