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1 <br /> i <br /> CHART NO. <br /> � tverett _ � � <br /> Ie t _ � - , <br /> � <br /> I City of Evemtt � S? $ �p �OS j!I�L'7 <br /> I r` o 0 <br /> ..i w <br /> � Y M' <br /> � <br /> Sewer Application.�ind Permit ��� �- � � <br /> ; � � � /:�� � <br /> N0. ��v�� DATE _ � �n1v 10 1990 <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee . <br /> City,State, Zip Connection Chargels) <br /> � � 10.00 <br /> Owner (Mortgagor) . Total Fee <br /> Billing Name <br /> � Connection By <br /> I <br /> Address Signed c�.,o�� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By � � �$°� <br /> Ciev enyfneer <br /> IMPORTANTI s� �,,,M <br /> Issued By <br /> CALL 1�00-024-5555 48-HOURS <br /> IPRIOR TO DIGGING <br /> CALI 269�8811 FOR INSPECTION <br /> _ /y�_�— <br /> Inspection By ��� <br /> Date Inspected �° <br /> SEE SKETCH ATTACHED N0. 27827 <br /> IIP!SP[Ci ION <br /> � <br /> � <br />