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everen CHART N0. <br /> e � <br /> c�ey o, e�eren <br /> Sswer qpplication and permit <br /> ��o. 26438 <br /> DATE ��eb�r �,` <br /> Service Add�ess ,�,� , - <br /> �' Utility Account No. <br /> Billinp Address <br /> ---� Permit Fee�Q ____ <br /> City, State, Zip —�_ <br /> Connection Charge�s) <br /> Owner (Mortgagor►,_ <br /> ���A'—�--- Total Fee <br /> Billing Name <br /> Connection By <br /> Address <br /> Siyned <br /> Phone_ ����o� �_ <br /> DESCRIPTION: <br /> Lot S`_ Block�_ Sewer District <br /> Plat <br /> Monthly Sewer Service <br /> Unplatted Description <br /> ----�Monthly Sewer Constr. <br /> TYpe Permit: <br /> Mebil� Boa• Coan�etloa Trunk <br /> Remarks: Lateral <br /> Ahutting Lot Lin <br /> N S E y�1�:4!U� ll:ti�pH fItMM1Ne147 I�{t <br /> --�__ <br /> iillftlMi�r+45 <br /> i Il.[ ! '';,.00 <br /> IN YHlOi�7q <br /> APProved By ��'1•��J s 1lI.IM1 <br /> IMPOfiTANTI ' '� . � ' 91t"��—� <br /> CALL tAOp.qp4•665648•HOURS �ssued 9y ����k•w <br /> PRIOR 70 DIC�GING � • <br /> i i1011f11 Y0Y 1 <br /> � CALL 269�8811 FOF INSPECTION �� f10,� I <br /> � I.►f'.I.1. p11J.f7U <br /> ' ------.—_. ._ �J Inspection By____ � <br /> f Date I nspected <br /> I SEE SKETCH ATTACHED I <br /> rvo. , 26438 , <br /> I . ird:�r�rc;rion: ! <br /> � <br />