Laserfiche WebLink
CHART N0. <br /> everetl � <br /> e � <br /> � <br /> � <br /> � � <br /> City oi Everen § 4 � `` � � � � <br /> 1� �^ l�1 � ' � �� � <br /> � � <br /> �� Y w� 1R M 'f I <br /> Sewer Application and Perr�ir� � `� � � � � ; � M �� <br /> � . ;� -�5 �� <br /> �� � l�.^ J � � � � � S vri � <br /> N0. ZS49Z DATE � — '-- <br /> Service Address ia�� - lOOeh st aM �38 Utility Account No. — <br /> Billing Address L — Permit Fee � ^ <br /> City,State, Zip �+�tt �A 48301 Connection Chargelsl <br /> Owner (Martgagor) J � 1 Total Fee i0 00 — <br /> Billing Name � <br /> Connection By j <br /> i , _/ <br /> Address Signed c�,�o�� <br /> Phone '��-�-"�� — <br /> DESCRIPTION: Sewer District <br /> Lot.��— Block Monthly Sewer Service <br /> Plat t�=�+ ����� �1L NOM Park <br /> Unplutted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> PJ, S, E, W _ ft. <br /> Approved By_ <br /> � � �� <br /> IMPORTANTI Issued By ��+� "^'�"'� <br /> CALL 1�800�424�6556 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED <br /> No. 26492 <br /> Ild�?CG i10�! <br />