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everen <br />� <br />City cd Evaratt <br />Sewer Application and Perrr�it <br />CHART <br />��ti: %C Ci/.v,�•si.ot- s��s/n6 <br />No. 25423 DATE =2 S �__ <br />Service Address �l� lObth itrNt i E Utility Account No. _ <br />Billing Address- i�m• �er+. • ... � s <br />City, State, Zip._ �attL, Na. 9tl1SS <br />Owner (Mortgagorw�o Camtsuetien <br />Billi�g Name <br />Connection Bv <br />Phone_ 76�-0�16 <br />DESCRIPTION: <br />Lot_ �9 Block <br />Plet g�� . �_ <br />Unplatted Deuriptio� <br />Type Permit: � r„�i� <br />Remarks: <br />IMPOqTANTI <br />CALL tA00d24-5665 48-HOURS <br />r'RIOq TO DIGGING <br />CALL 269A671 FOR INSPECTION <br />SEE SKETCH ATTACHEO <br />Permit Fee <br />Connection Chargels) 7]0.00 <br />Total Fee 30.00 <br />az�fte.eo. 1i71-es <br />Mabr 179.00 <br />ewar �71.00 <br />Signed _. <br />650.00 <br />Sewer Distrlct___�ppd ZIt <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk »p pp <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By_ :. II. Y7r�1 <br />Cny Enpmeer <br />IssueJ Hv E. HonA <br />Insp� �tion By �� <br />)atelnspected Z-�-�(o <br />No. 25413 <br />If;SPCCl1Oi,� <br />ft. <br />