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eve`retl <br /> e - 1 �l � <br /> - T- � � � . <br /> ��', � !. �,� `� `'l z�j� � <br /> City of Evarott ( ' ' /.Q�,� <br /> En�nnrin� D�rtm�nt ���� <br /> i' <br /> Sewer Appl'Kation and Permit� <br /> N0. 21 O 5�i DATE C" � ' � f� <br /> _ , ,., <br /> Servfce Address � � ��Ll� ,�%l�/ ��t' • Utility Account No.-���� ' "�� �� �i `��r":� <br /> BIIIfng Address=���!�� ' � ��' ��T. Cannection Pern:t Fee ��'• <� C � <br /> . � ' <br /> City,State, Zip-`r1� .�f�7 Connection Fee ==�<���. C,� , , , �' <br /> J , ^ <br /> Owner (Mortgagorl..._^-�'n��tf � /;:�/71`,C; �i..("�f%Total Fee �<�, �:> �� <br /> Billing Name_. ^�'%�'�� <br /> Connection By ; /: ��� ��[;��%f:EJ �_'�,liVi�'.r'-,�Ji�t�� <br /> Address_ ��-ti %�.�1 !L _ Signed � <br /> catome. <br /> Phure_- - " J,�1 �"� <br /> DESCRIPTION: Sewer District_` r ��� '���/+ � �-�--- <br /> Lot �-- " <br /> Block � Monthly Sewer Service_ � - ` � � <br /> Division or Addition '��"'F / ,�,�i�1s Monthly Sewer Conjv, ; � <br /> . � <br /> Type Permit: ,�,, ,_ � , ,, �T Trunk <br /> �},�, �i <br /> Lateral . i i <br /> ,,•--t� �� <br /> Remarks: ' ,� c. o � As l.c s Er�a: � v v - y, ;� ;� <br /> Abutting Lot Line - , r � � �� <br /> N, S, E, W � : �' ' ft. <br /> c;FC- A��ca , <br /> (J Approved By.�•_ ��-'i � ' I ^ � � <br /> I" L 2� / T �1 IO �___�.__ , CiW Enpinex <br /> i . i s^ � <br /> /- , !/� �>•� � <br /> Issued By ' � � �' - �� <br /> Inspection By /u'��iLs� � ��_�=�� <br /> Q Da!e l nspected� /5� 7� <br /> SEE SKETCH ATTACHED NO. 7 L O 5 � <br /> n:�'.!,i�r,T�nri <br />