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i <br /> evcrett �� <br /> !-' �'� `� . „ <br /> ��� L�J — � �_.J-J <br /> �� {'i <br /> C.ILY Of EVBfBLL � <br /> Enpineerinp Department � <br /> r <br /> Sewer Application and Permit� <br /> N0. r� .I_ j lt �J DATE _ � I <br /> Sen�:� •� Address _ Utility Account No._ <br /> .^,,;li:�y yddre�,__ __ _ Connection Permit Fee I <br /> � <br /> City,State, Zip . � . Connection Fee <br /> Owner (Mortgagor) , Total Fee j <br /> Billing Name- - + <br /> Connection By <br /> Address Signed <br /> c��o�. <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ ' <br /> Block_• Monthly Sewer Service _ <br /> Division or Addition , Monthly Sewer Constr. <br /> Type Permit: Trunk _ <br /> � � <br /> Lateral <br /> Remarks: <br /> Abuttiny Lot Line <br /> �:D2• I � � vs N, S, E. W ft. <br /> �7. /y i/Yl c' ' p . <br /> —�1Z '�'Ca /!�l feC ' <br /> T <br /> c�7�.7ic•YJ ,T�i�,o <br /> Approved By <br /> ciry Eopfnan <br /> Issued By_� <br /> Inspection By__ _ <br /> Y -- — <br /> Date Inspected_ <br /> w SEE SKETCH ATTACHED N0. ? 1 1 � � <br />�4 <br />� <br />