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. .....+ <br /> � <br /> n <br /> � <br /> CHART NO. <br /> ��� �verett - <br /> � � � ;: <br /> � � �, ''�1 P(ISTING_S/��/�� <br /> ��� City u I EvBMtt .:� :{� � � o � � � � �; <br /> E�� � c� c :i � � � � ,3 <br /> M M T <br /> M. �M iH � <br /> ��� � Sewer �ap��catioi� �ndlPermit <br /> $M �'�a �Y ;S. Y tic �� ..:e '3 � � '� � <br /> �'i� N0. C]8� ~DATE y--�z�—�99U <br /> Q• <br /> �H Se�vice Address 621:i lst iu'. SE Utility Account No. <br /> p� Billing Address n n tv, �� 6 <br /> �� Cfty, State,Zip .��r#}3e,--;:. 48,2a8 Permit Fee $ �� �^ <br /> '�U Owner . Con� an Charge <br /> � Connectionby Trunk $ 1to 00 <br /> Address Lateral $ <br /> 3'�LtLi Syny+ <br /> Tctal Connection Charge $ llO.00 <br /> Phone '�a4-3a2� Utility Davelopmenl Fee <br /> legal Description: Water $ t�o_nn _ <br /> � C�� Lot Sewer $—,�}i;sp- <br /> � I <br /> Block Total Development Fee $ �so on <br /> 1 1�� Plat - <br /> '�.�� <br /> Unplatted Description: Sewer Bond District , <br /> � � Abutting Lot Line <br /> �� <br /> � N,S,E�W ft. <br /> � <br /> Type ot Permit Approved By <br /> i ''�'� Remarks Issued By `ti'� ��4� -- <br /> Customer Signature <br /> �I,�1 IMPORTANT! <br /> � <br /> � CALL 1-800-424-5555 48-HOURS <br /> ���+� PRIOR TO DIGGING !� <br /> Inspection By /����� <br /> CALL 259-8810 FOR INSPECTION � �,� u/ <br /> Date Inspected / <br /> SEE SKETCH ATTACHED No. 2787� <br /> iN�i,�cTicu � <br /> i <br /> � , <br />