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r <br /> r , <br /> everett CHART NO. <br /> e � ► <br /> City of Everen <br /> Sewer Application and Permit <br /> �,: �< ; - . : ;=ii -s; <br /> N0. 24396 DATE _ 11/lU/97 � �� - � .- : - <br /> Service Address 1507 eaket Utility Account No. <br /> Billing Address Permit Fee Mon� <br /> City, State, 2ip Connection Chargels) <br /> Owner (Mortgagor) Total Fee �O°� <br /> Billing Name <br /> Connection By Clty of E��s�tt <br /> Address Signed D°° yill�r <br /> c�:���, <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot _ Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description �.�= Monthly Sewer Constr. <br /> Type Permit: �p��s Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �`� •e.. N, S, E, W ft. <br /> ? � <br /> - s .�� � <br /> ts ��.s► � �. - ` <br /> —� Approved By �• R. Th�al <br /> � r ,� � City EnBineer <br /> �nn,c"� O�"i�' ��r��. E. eoed <br /> Issued By <br /> Inspection 8y �-�� �� '�' � �–� <br /> — _ Date I nspected // - � 1�^' <br /> SEE SKETCH ATTACHED N0. Z4356 <br /> INSPECTION <br /> L - �.. � <br />