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everen <br />e <br />CIiY O� EV8f8tt <br />Sewer Application and Perreiit <br />NO. ``�`��� DATE t�o�enUar 2D. 1986 <br />Service Address �nza _ � �n�h oi ax <br />Billing qddress a.+.. <br />City, State, 2ip v..�r.�r,�g opane _ <br />Owner (Mortgagor�_ .T..... c�-..�n__ _ ____ _ _ __ <br />Billing Name S..r _ <br />Connection By v�� �ox <br />Phone »y-ZESd (�sws� <br />DESCRIPTION: <br />Lot __ Block _ <br />Plat <br />Unplatted Description _ _ <br />Permit: <br />Remark.: <br />IMPORTANTI <br />CAI_L IA00-024-555548�HOUflS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOH INSPECTION <br />SEE SKETCH ATTACHED <br />CHART NO. <br />Utility Account No._ <br />Permit Fee __ 30_ot� <br />Connection Charg^�s) __�30.00 <br />Total Fee, _________ _�0.00 _ <br />6peciel Dtility Pee, On . 1171-85: 5400.00 <br />Signed _ <br />Customer <br />Sewer Dis[rict n.,..a TTT <br />Monthly Sewer Service__ <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By ayrocn R- THRIR __ <br />ciry eoyioeer <br />Issued By ��y�at r w.r�„t <br />Inspection By <br />Date Inspected ���u ' _ <br />No. ?5978 <br />n <br />