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everett <br />e <br />City of Evere <br />Sewer <br />;, <br />� <br />x <br />r <br />tt � �s� ��:s��� �" <br />,; . . . . . . , <br />- � �-, '� � :�. � r, = <br />c� ��� r�i �_ — o� <br />�.i � C� H- .. .r `? <br />Applic�t�oa :aiid Pe�rriit � <br />, ,.�,.,� :_ <br />`,; ���:_ ���������: <br />Z736Z � DATE-•-�='��'::.�`E-_=�:_ <br />IVO. OCtober 19, 1909 <br />Service Address �+ + �g--R 4th �ae <br />Billing Address�,�f <br />City, State, Zip�_=iv <br />Owner (Mortyagor� Epe�r--lie€€ru: -- <br />Billing Name .;,�_ <br />Connection By <br />Address — <br />Phone <br />DESCRIPTION: <br />Lot �� Biock �� <br />Plat _�,� a�yaw�ii <br />Unplatted D�scription <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�80D424•5555 48-HOURS <br />PRIVR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART N <br />Utility Account No. <br />Permit <br />i ',- , �p5T1 f�IG. <br />-,. ,.�o. �,t� <br />Connection Charge(s) 720.00 <br />Total Fee 30.00 <br />Utllity Levelopmeat £en Or�. 1171-BS <br />ratcr 261.00 <br />sover G88.00 <br />9�9.00 <br />Signed <br />Cunomcr <br />Sewer District Bond I.L <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 270.00 <br />Lateral 450.00 <br />Abutti�g Lot Line <br />N, S, E, W <br />Appreved By_ ��D R. Tli^'r. <br />City EnBinecr <br />Issued By Susv xauaen _ <br />inspection By �r""" ��/ <br />Date I nspected 'L' `' <br />No. 27362 <br />IN<;i'L=GTIOfV <br />