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r T <br />everen <br />e <br />Ciq of Ewrett <br />S��ver Application and Permit <br />No. 23276 <br />Service Fdc <br />Billing Add <br />City, State, <br />Owner (Mo <br />Billing Nart <br />DATE ��� 7 �� S'/ <br />. � . : ii � rr / <br />.. � /'/ �, i, � S.r./ , �i <br />i ' <br />� — <br />DESCRIPTION: <br />Lot �'� <br />Unplatted <br />Type Permit: <br />Remarks: <br />� <br />SFE SKETCH A;TACHED <br />CHART NO.�' Lg � <br />,�� <br />�b _�-1-'�C� <br />� <br />Utility Account No.� <br />Permit Fee � <br />:ction Charge�s) - <br />��� <br />'Fee <br />�: <br />.� � - . <br />_ .,_._ . <br />% ,. ��: .: <br />,,'� / i% ,� <br />Signed �" ' ' '�' '� <br />Customer <br />INSPECTIOi� <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />,��' �, ._. <br />� <br />Approved By� .�� � <br />City Engineer <br />Issued By � �'y'� <br />Inspection By � <br />Date I nspected � � — � �� <br />rvo. 23276 <br />