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� <br /> C�ty nf Evcrett i <br /> � <br /> �ewer � � <br /> � <br /> pP icvtioR and Permit ; <br /> rvo. 2;?88E DATE � ' ' <br /> ---—=-- -' <br /> -- - ----- <br /> Sere�ice Address �`' U "�� ,f /t� 'i <br /> - <br /> ---=��:�1�:Lssi�rs,,-, � � /��' —___.'--- --- --- <br /> p����� '�--'{+"'1�� Utili[y qcr.ount Nu. <br /> 9 Address_-- <br /> Permit Fee ''� �--- - ----- - <br /> City, State, Zip __ __�__ <br /> Owner (Mort a � � -'� Connection Chargels) <br /> s por) - , ..� , <br /> Bllling Name_� �'Total Fee - <br /> -t `-------�� <br /> —_.__-_ <br /> Connection qy_ ___ <br /> Address_ � <br /> �---- � � , 1 <br /> Phone___ '- . Signed + i ' {i . t' t I <br /> — ..---- — — ..____ cw�omrr --�-__ <br /> DESCRIPTION: <br /> Lot� Blo k S�wver District____ <br /> Plat �� �.,_�J� 7�s�"``_��_ -�---- - <br /> Unplatt y���Z---���� � ` Monthly Sewr,r Service <br /> ��n_. <br /> � � -'- - - ---_ Monthly Sewer Constr. <br /> 7VPe Permit: --- ---_--_-- <br /> -___,�_ Trunk <br /> � ------- �-_--_ ---�__��_�_ <br /> Remarks i - Lateral <br /> -- --_ ---- Abutting Lot Linc <br /> _`_'----------_--_ -- N, S, E, W <br /> �`-�_�_ ��.__.�� -._-___��- ��, <br /> � �.�� - <br /> � _-�-�- � <br /> `- --�_ Approved By � <br /> ' -- � ----__" �s`-'. ����E„u��� -----__ <br /> -.---__ __"�'---- i% � � <br /> issued By <br /> --�_. � , .: , <br /> _-�"_---__ _"-'-'---__ <br /> �------_-�_- <br /> ----___--- <br />, InsPection B ' <br /> Y---- <br /> -__- <br />' SEE SKETCH ATTACHED Da1e ��S��ted � <br /> ----�_____� <br /> N�. 22888 <br /> � 'N�rrcrior� � <br /> .._.;,_.. ,.,�.,�� <br /> ,.: <br />