Laserfiche WebLink
everen <br />e <br />City of Evenm <br />Enpineering & Community Services <br />Sewer Application and Permit <br />NO. 223ZO DATE ������ <br />�� <br />Service Address �� %� 't �`u'`��"'`' "�" <br />Billing Address�Ov .�: /��r.f .�c�� -%{ <br />�'.� ' ' " ' <br />City, State, Zip-:= ! �< <, )!�c . � t .: ' O <br />Owner (Mortgagor)Q� � � ' �� `�f �'- ' �'d <br />�i , <br />Billing Name � "''`"' ' L--� <br />A/. <br />Connection By -'"� <br />Phone � � �- �/'� 7 <br />DESCRIPTI ON: <br />Lot � 7 /� 81� � � 7 <br />Plat /'7 � �. • <br />Unpl�d Description� <br />Utility Account No. <br />5J <br />Permit Fee � <br />Connection Charge(s) <br />Total Fee � /�' <br />i <br />i <br />Signed�� — � <br />u�rorrKr ; <br />1 <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W._ <br />� <br />�c-- <br />Approved B�' �". "%. � , , <br />City Enpineer / <br />� r <br />�,, /-' / <br />Issued By :�^ - �--1�`"- � <br />Inspection <br />Date I <br />No. 22320 <br />