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CNART NO. — <br /> everen <br /> � C'c'✓'..=-s rE,✓,— Fcsc= <br /> ('�,�f��'T��:�t� r/_ 7 <br /> C� O� EVlfltt <br /> Sewer Applicciti�n and Permit <br /> No. 25390 DATE D�o' 10•' lflS <br /> i»> xooen ri.e. s.�. <br /> Service Addreu Utility Account No. <br /> Billing Address <br /> 27I0 1�9th �wew �._. Permit Fee �•� <br /> City,State, Zip ��' �' s�2� Connection ^,hargels) s�'� <br /> Owner (Mortgagor) �� ��t ~tr�� Total Fee �'� __ <br /> Billing Name � 1171–e5 <br /> Ihbt 1�0.l� <br /> Connection By_ � 1wr�r 501.�2 <br /> 6l2.76 <br /> Address Signed <br /> cwtomxr <br /> �u-ss» <br /> Phone — <br /> DESCRIPTION: Sewer District �� II= <br /> Lot � 1 Block — <br /> Plet �ilwsLk� Pret�nle�uT �et�r Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk SBl.60 <br /> Type Permit: � �Op <br /> Lateral _ <br /> Remerks: <br /> Abutting Lot Line <br /> N„S, E, W --ft. <br /> A. R. TMal <br /> Approved By_ <br /> Cny EnOine�rc <br /> IMPORTANTI E• eona <br /> Issued By <br /> CA L L 1�800�424•6665 48•HOU R S <br /> PRIOR TO DIQOING <br /> CALL269A811FORINSPECTION <br /> Inspection By ` – <br /> Date I nspected � '� �b • — <br /> SEE SKE7CH ATTACHED Na. 25390 <br /> If�,Gf'f_C�T�IGN <br />