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- . CHART NQ. � � I�' Z 9' S <br /> ,: <br /> _ ,eren , f+� <br /> � ,;,� <br /> e �� <br /> . : , .�. <br /> Cky of Everen .^;� <br /> � <br /> Sewer Application and Permit <br /> No. 26405 DATE � ' � 5 - � �' <br /> Service Address 2 � � q W e- � m o � e Utility Account No. <br /> Billing Address Permit Fee <br /> City,SWte, Zip Connection Charge(s) <br /> Ownar (Mortgagor) Total Fee <br /> Billing Name <br /> ,^,o��c�o� sy�— �> F L v e r�i T <br /> A��y Signed <br /> C4{tOTlI <br /> �� <br /> DESCRIPTION: Sewer District _ <br /> lot B��k — Monthly Sewer Service __ <br /> Pl�t — <br /> Unpletted Description _ Monthly Sewer Constr. �� <br /> Trunk _ _ <br /> Typa Permit: q i Y <br /> Lateral <br /> Ranwlcs: � O 6� � ¢ Abutting Lot Line <br /> N, S, E, W — •• <br /> _�.v.� 6 ` d sS 6,' <br /> �:�/ ' S . o� I7'1/��577� <br /> �� /(,�',:�''4 <br /> � 1 ' �s�� �?' , '' �-' "l.(}�" t , . p`PProved By CityEnqinear — <br /> � . <br /> /,� '� IMPORTANTI QU n M � � �� Y <br /> Yd3r'�1�� Issued By — <br /> f- CALL1$Wd24b55548•HOURS <br /> - � ` � PpIOR TO DIGGING <br /> f� �1�� 7 <br /> CALL 259�8871 FOR INSPECTION - � <br /> !nspection By <br /> Date Inspected �' - O — � <br /> SEF SKETCH ATTACHED No. 26405 <br /> UTILITY E3ILLING <br />