Laserfiche WebLink
everen <br />e <br />c�ey or e�e� <br />Sewer <br />::, <br />� <br />� <br />n ���Pgs� ss � <br />� P � <br />.� ��� v ; M � � N � <br />Applicatior�QQd P�r�i� �, � <br />� ++ r� '&�''5 � '�. n Ci 1 <br />S` � � .'.] � 2 N 4S � � V] [` � <br />26341 ,� ���W � �� <br />N0. DATE' �Pteeb�r 16, 19�7 <br />Service Address 572] aomd )v� <br />BillingAddress- 12106 1Mkilc�e��. <br />City, SWte, Zip_jaiaewod. MN 4�0�7 <br />Owner (Mortgagor) 7lecara D�wloeret <br />Billing Name_ aa.. <br />ConnectiOn By �+na�ra l:owrtl�s cbro <br />Address 17�06 wlcilt�o svdar LYaa••• d�_ <br />Phone_ ]S]-]iS9 <br />CHART <br />�, �� ,.:,.�, <br />Utility Account No. <br />Permit <br />GZ�: <br />. ,,,�_.o_��� <br />Connection Charge(s1_-_��t per ord 1171-eS <br />Total Fee 30.00 <br />Sp�cial Q:ilit� rw, pid. 1171-�Se <br />qtar 179.00 <br />Signed <br />customer <br />DESCRI��TION: Sewer District �ud II <br />Lot 1 giock <br />Plat ���► Qills 1 Monthly Sewer Service <br />Unplatted Descriptio� Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1�600-024•555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8817 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N. S, E, W n. <br />Approved By �a �' �' <br />Ciry Enqineer <br />Issued Bv ��'n! E MeLod <br />Inspection By_.��""'` / <br />Date Inspected �-/ 3-�b <br />No. 26341 <br />INSPCCiinN <br />