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CHART NO.� <br /> everen � <br /> � ,�rt f �.�"o ����fl�n� <br /> � / <br /> � <br /> City of Everar � S $3 3 <br /> M �� � w <br /> Sewer Application and Permit � , � � �, � <br /> � � M �! <br /> � � <br /> 25958 � � � �" ' <br /> NO. DATE en■.m�7_. iosG " <br /> �./�e_� C.�¢� <br /> Service Address 1 �� -:�••:� � Utility Account No. <br /> Billing Address_ $+r Permit Fee �•� — <br /> City,State, Zip r.tL b 9L20� _ Connection Chargels) 3�•� <br /> Owner (Mortgagor) *■i• 1� Total Fee �•� <br /> gp�aial tltility l�a�. Ord. 1171-eS� i471.00 <br /> Billing Name s� <br /> a�� <br /> Connection By � ����� �-..� •- <br /> Address Signed'' -- � <br /> Cuslomcr <br /> Phone ,+7-oaeb *�(Laulia) ..� <br /> DESCHIPTION: Sewer District �d�*= <br /> Lot� Block Monthly Sewer Service <br /> Plat <br /> Unplatted Descr�otion Monthly Sewer Constr. <br /> -- Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N� g, E, yy ft. <br /> Approved By �*�r g- '�L <br /> CitY EnOineer <br /> IMPORTANTI Iss�ed By_�s�zp�ri� r- e�er.oa <br /> CALL 1�800d24•5555 4k1�HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�811 FOR INSPECTION �' � <br /> 1 <br /> Inspection By ' <br /> Datelnspected ��/���� <br /> SEE SKETCH ATTACHED NO. 25958 <br /> INSPECTION <br />