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� <br /> I <br /> � <br /> � <br /> II <br /> everett _ � i <br /> e ; - � � � � <br /> _ . � __ � � <br /> ari ar e�e,att <br /> Enpineering Depertment <br /> Sewer Applicction and Permit <br /> N0. r ' DATE <br /> Service Address _ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, 2ip Connection Fee <br /> Owner (Mortgagor) _ Total Fee <br /> Billing Name <br /> Connection By <br /> Address _ Signed <br /> Phone 6ustomer '—� <br /> DESCRIPTION: Sewer District <br /> Lot — <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Laterel <br /> Remarks: <br /> _,-_ Abutting Lot Line <br /> <�" -�-` 'v" N, S, E, W <br /> ft. <br /> Approved By <br /> Qry Enpmear <br /> Issued By <br /> Inspection By�� •l� i- �C�t rJ �� <br /> p — — --- — Date Inspected_;•- �-J`/'C, <br /> SEE SKETCH ATTACHED NU. ! ��. ` <br />