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everetl <br />� <br />City ot Ev <br />Sewer <br />; <br />� <br />� � 8 sg4 $es�s� <br />� � � S�(7:��'��� <br />41 � � A • M M� � <br />Applicati�e � P��mit � " <br />... , , <br />2T444 a � ���������� <br />NO. DATE _ s.a..*.. �� +�a <br />Sarvice Address ��� ��� �t• ss <br />6illing Address ���5 198th Rl. sM <br />City, Stete, Zip � W'��4• M� !t0]6 <br />Ow�er (Mortgagor) Meohol� Ooe�teratlae <br />Billing Name � <br />Connection By � <br />Address � <br />Phone 77�-i2st <br />�ESCRIPTION: <br />Lot s � Block <br />Plet <br />CVART NO. <br />TO P�STING -i�_�—�� <br />Utility Account No. <br />Permit Fee �nn <br />Connection Charge�sl_�_ <br />Total Fee +n nn . <br />vtllltr D�lopNot !N OsII. 1171-85 <br />wt�r 17f.00 <br />�w�r t71.00 / <br />650.00 , <br />Sipned <br />c�.��.u,.e. <br />Sewer District� .--� •.. <br />Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Rtmarks: <br />IMPORTANTI <br />CALL 1�800d24•6666 48•HOURS <br />PRIOR TO DIdQINO <br />CALL 269�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk_���_ <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved B�• �� R- �=� <br />Citv Enqinaer <br />Issued By ��P 9�uq��u _ <br />Inspection By-1/s2��-�5������L— <br />Date Inspected�L/� <br />� �,o. 2T444 <br />ir;r.�r-cTior� <br />