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CHART NO. � --_^_— <br /> evcrcil � <br /> �.� , - <br /> '`'• ,�� i ' . <br /> �:.. . <br /> City pf [vcrett � . � <br /> Engineering & Community Services <br /> , : <br /> ���e� ,A��6iee��E�r� ca�►c� 6��s�ca�i�� . � ; <br /> N0. `.1 `ZQ� �I DATE I1�iO�%7 <br /> > <br /> Se�vice Address_P'��� ����' � �=,!�F--G 'Utiliry Account No. <br /> r� <br /> Billing llddress,j. '� � � -_.�._--�� Permit fce_. -�� � <br /> � � ''�L Connection Charge�s) <br /> City,Statc, Zip�,�7�.I,1 ,• G <br /> Owncr (Mortgayorl.�.r:l:�.r.� ���— Total Fee_ �� i' <br /> i; <br /> Billing Name__ " � __ �� - --- <br /> . <br /> Connection By _ _ _—�_ ( , <br /> ._ .. � \'� ' � �.i//:.� :"�t•-� � • <br /> Addr��ss_ __ Sir�ned '�._ `c� � I <br /> ' Cuslonmr I <br /> Phonc---� ���=���/ --- � <br /> ( <br /> OESCRIPTION: Sewer District_ I <br /> � <br /> Loi__.'?_L— B`ocl;.— ^ �%��/ / Mon4hly Sewer Senice _-- � <br /> Ple,t,. �_ - i` ... '' ��- ��__;.�� I <br /> Unpl�i,trd flescription_____ _.__—._—Monthly Sewer Con'tr. � <br /> -- -- — - — Trunk � <br /> �YPc Pamiit: ,- � ,._. -- --r <br /> , � <br /> -"' r�- / Lateral__ <br /> ,—�•, <br /> � <br /> Remarks: I <br /> -- Abuttiny L�t Line <br /> N, S, E, W ft. <br /> --- , <br /> : , <br /> `�Y�� // <br /> Approved Uy ' `1 '�" _ : <br /> ^ Cily[nqureer � <br /> % <br /> — — ('b %�� /!�i <br /> -- i5s��d ny .`. _ ��_1_-z�� <br /> -- - - �— � — Inspection 13Y— --------- <br /> ----- -- --------- - Datc Ins�,c�.ird_ --- — --- <br /> p <br /> SEC SIC[TCII ATTACIi[D Np, � ��� '' n <br /> . .. . INS{'IC1�ijfJ �_ _...._. --._. ._...,.__.__ . _ _._ . .__ <br /> j . . ' . _ . . . . . . .— -� <br />