Laserfiche WebLink
�� <br /> 1 <br /> � � � <br /> � <br /> m x <br /> a> H <br /> H � � _ CHART NO. — <br /> K y � � ever�ett j <br /> H ,n [" w� _ <br /> lTJ O [�i7 �� _ <br /> �-7 t7 � � - .� ;, - .R, :: c <br /> I City of [vereit <br /> H � g i = u - = ,= � <br /> zN� y�,, A�� �ppii�a�io� Qi�c��'er�it� TO �n�TiNG ► -Za--93 <br /> �a-+ � ''� I �W�,�in��r:4 � .i .. <br /> HI:' �� i � �. i . :n -� <br /> [/1 ,-� � � �� � i ..� J J 4' `. <br /> �j :� <br /> y. :J +�- <br /> g � � N 0. G;•'511 D ATE t•<<.,-,.�,-v l;Z,..1-7:.�Y <br /> �� M <br /> H O c�i� Aia,. ie • �� Utility Account No. <br /> Service Address.�,��' . . . . _ I <br /> BillingAddress � '��-9t'� �L °"'^'' PermitFee��.,';� <br /> Connection Cha"ge(s) �nl �r rr� i �n ^�74�: I <br /> City, State, Zip > > '�A---9EA'`i I <br /> � v ; ,.+��_ Total Fee�p��� � <br /> Owner (Mortgagor) � <br /> i II Billing Name <br /> � <br /> � Cornectio,� By n � <br /> I Address a- Signed c�:,ome� , <br /> �� Phone - I� <br /> ��` . . i <br /> � � � DESCRIPTION: Sewer District �� � ' �i <br /> � Lot Block— Monthly Sev.'er Service <br /> a-t ' -- - <br /> Plat_ �, <br /> P ' Unplatted Description —�lonthly Sewer Constr. � <br /> � I <br /> ��� _ Tn�nk I <br /> Type Permir. ••«a Cott:,s.r" �`1 I <br /> i � — Lateral. � <br /> � — �I <br /> ,�' I Remarks: Abutting Lot Line <br /> ,� N S E W ft. I <br /> �� ', <br /> �� -- � <br /> .�.'�, I Approved By ^� � ^ ' � <br /> iry Engineer R <br /> ��� I <br /> � IMPORTANT! Issued By � <br /> '�� I CALL1-800-024�555548�HOURS I <br /> � �I PRIOR 70 DIGGING <br /> �i CALL 259-8811 FOR INSPECTION � <br /> i , i i� <br /> �� � ��� <br /> i Inspaction By " � , II <br /> ; Date Inspected / � �� <br /> t <br /> � A Gq <br /> I SEE SKETCH ATTACHED N0. `�J1� <br /> I�ti�P6CT10�1 � <br />