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evereH <br />e <br />City of Evarstt <br />Sewer Applicat�on <br />NO. Lv��� DATE <br />Service Address 71s - foStA fl as <br />8illing Address 1�== - SltA ll� R <br />City, State, Zip =��tt., w1► lt20! <br />Owner (Mortgagor►_ �9� ��� <br />Billing Neme E�91� rtare <br />Co�nection By <br />Phone »�'��� <br />OES�RIPTION: <br />Lot i <br />Plat �T 1�-!!B7 <br />Block <br />Unplatted Deecription — <br />TVoa Permit: <br />Remerks: <br />IMPORTANTI <br />CALL 1�600324�6556 AB�HOURS <br />PRIOR TO DIGGING <br />CALL 269�8t1 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART <br />�,, ! f„ �f ,,,G� j =�,��ae� <br />88 88n88Y3 <br />~ � � � w � w N <br />� <br />� .. �., <br />��`����� <br />Utility Account No. <br />Permit <br />Connection Cherge�s) �=S•� <br />Total Fee ��•� <br />fp�atal Otil�tr Te�. OM• 1171-95� <br />r�t�z 179.00 <br />wwr 471.00 <br />Signed !� � / � _ <br />c�,w�, <br />Sewer District �d �iI* <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />lrunk <br />Leteral_ <br />Abutting Lot Line <br />n, S, E, W_ <br />Approved By IlI.flt6p t• 'P��.711. <br />I CiIY Erqmnr <br />I Issued By Maraac�t R. Nat.�od <br />� <br />Inspection By � <br />Datelnspected l�lZ1 /B� <br />N0. 26266 <br />i�,.s�rcri���; <br />. <br />