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everen <br />e <br />City of Everott <br />Sewer Application and Permit <br />CNART <br />No. 25491 DATE �rch 4, 1996 _ L <br />Service Addi ess �?t - 1n6u it SE Utility Account No. <br />BillingAddress. l�a _ �StA 11E <br />City, State, Zip arf*1! IL��155 <br />Owner (Mortgagor) r.*.� �on�tnicttee <br />Billing Name__$w <br />Connection By Si�'a <br />Address- 1ppy� <br />Phone 161 0116 <br />_ -.� - i� � „�.,. � � , , <br />Permit Fee 30 f10 <br />Connection rhargels) 330,00 <br />Total Fee 30.00 <br />S�wer Davelop�ent Fe� 9td. 1171-R5 <br />Mater 1)9.00 <br />Sewer �7,�1.� <br />Signed_ <br />c� o�� <br />DESCRIPTION: Sewer District <br />Lot zZ Blcck <br />Plat f�A�� 1�s� Monthly Sewer Service_ <br />Unplatted �escription_ Monthly Sewer Constr. <br />Typa Permit: � <br />Remarks <br />IMPORTANTI <br />GALI 1�800-024�6665 48-HOURS <br />PRIOR TO DIOGING <br />CALL 269�8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By a. R. The�l <br />C�ry EnOmen <br />Issued Bv_ Sve 6r�nn�n <br />Inspr.ction By� ' �� <br />Date Inspected B�P <br />No. 25491 <br />� ' , � �.:I' il, <br />ft. <br />