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everen <br />e <br />City of Ewntt <br />Sewer Application and <br />No. 27487 <br />DATE <br />$ <br />� <br />Sarvice Address 7101 iw st. <br />Billing Address �S� u�t Dt. 11s <br />City, State, Zip r+� �u�'�. MI► 9Y25i <br />Owner (Mortgagor) �1 �� __ <br />Billing Name sw <br />Connection By � <br />Addross � <br />PIIOIIB ]��0� <br />�88� S <br />��ow' � <br />�'�"` � <br />mit �' � <br />������� <br />CHART <br />Ta rosTiNs �ti.���'' <br />Utility Account No. <br />Permit Fee �p pp <br />Connection Charge�sl »0 00 <br />Total Fee 3p pp <br />ptl11ly Dn�loprnL TN Osd. 1I71—QS <br />v�t�r ]=�.00 <br />N�wt Sif.00 <br />eu.00 <br />Signed -- <br />cuseomer <br />DESCRIPTION: Sewer District ��__�_ <br />Lot s Blxk <br />Plat Monthly Sewer Service <br />Unpletted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1AOOd24-656548-HOURS <br />PRIOR TO DIGGING <br />CALL 269�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />�30.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />, y ny�o <br />ISsued By e..�.. e_..r_ <br />, <br />i <br />� <br />Inspection By <br />Date Inspected���� <br />No. 27487 <br />I�SP6CTIUN <br />