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everefi <br />� <br />City of Everen <br />Sewer Application and Permit <br />N0. �`��1� DATE �Ow= ��' 1985 <br />Service Address �� 106tI� etrM! s.�. <br />BillingAddress 1701t ISth A. •� M.s. <br />C�ty, StAte, Zip NK��� �• 9BISS _ <br />Owner (Mortgagor) �tO° �t��=� �7 �• <br />Billinp Name <br />Connection By <br />Address <br />Phone �63-0716 _ <br />DESCRIPTION: <br />Lot �O Block _ <br />Plat �r ta� <br />Unplatted Description_ <br />Perr,it: N�v Oo�otip� <br />Remarks: <br />IMPORTANTI <br />CALL �I-800d24�665548�H0URS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHAP.T <br />� 6✓T Tc Cy�o,cri.✓G <br />.S /.3 - +J -� <br />Utility Account No. <br />Permit Fee__ <br />Conner.tion Cherael <br />Total Fee <br />Osdinano� 1171-95 <br />M�tar 179.00 <br />e�wr l71.00 <br />]0.00 <br />730.00 <br />�0.00 <br />640.00 <br />Signed <br />Customer <br />Sewer Oistrict <br />Monthly Sewer Service, <br />Monthly Sewer Constr. <br />7runk <br />Lateral <br />Abutting Lot Line <br />N, 5, E, W <br />safd III <br />5.50 <br />11. A. The�l <br />Approved 8y <br />Cny E�p�nenr <br />Issued Bv E• e°wQ _ <br />]]0.00 <br />1 <br />Inspection By � <br />Date Inspected__���(� _ <br />No. 25311 <br />I�'.� ',�:ii; . <br />