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evereri <br />� <br />Cih of Eve►e+. <br />�ev�rer <br />� <br />� <br />t � <br />Applicatio� <br />O <br />N0. �7802 DAT� <br />CHART NO. <br />���.-1 ;� �ds��� &-/9-�/ <br />�88 8 �88�=�?8 <br />op(.� ri 1 c; G.�5�j p <br />U [y t"i. � .�p � � �F i�r f-.1 <br />�i M q <br />R�..w•� • •�• r = <br />!i i a � } <br />� p <br />i�� W U � 3 J 2� <br />�53.. �� �S'�S'm� <br />�r �. i9so <br />Service Addreu a71� wr..+.� � Utility Account Na. <br />Billing Address � ���ut�s <br />City, $tate, 2ip �_e_ � ��a� r--=-- eonu <br />Owner (MOrtgagor) r•• r�rylLtat�s <br />Billing Name �.-. <br />Connection By s... <br />Address �� <br />Phone y��..�� <br />Permit Fee ]0.00 <br />Connection Chargels) � �To.ee <br />Total Fee ��.� <br />Otility D�t�lopMnt FM 011s. 1171-85 <br />wLar7�yt 22�.00 <br />/MI SC9,00 <br />su, o0 <br />Signed_ <br />Cus�omer-- <br />DESCRIPTION: Sewer District �d� u <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Ptrmit: <br />Remerks: <br />IMPORTANTI <br />CALL 1�00�424-6555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�6811 FCR INSPECTION <br />SEE SKETCH ATTACHED <br />TrunF: <br />Lateral <br />Abutting Lat Line <br />N, S, E, W, <br />Approved By �r.t�een �_ �r. <br />cfer enyfnee. <br />Issued By_ su.y��q�e <br />Inspection By <br />G�1�!" <br />Date <br />INSPECTION <br />- Y so <br />NO. 2780Z <br />