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lverett CHART NO. <br /> e <br /> City of Everatt <br /> Sewer Application and Permit <br /> N0. �`5782 DATE <br /> . <br /> Service Address �y��-- Utifii�Account No. <br /> Billing Address_ .� ._ Perrnit Fee ��;f/f3ti 11:3l�Fii1 CY]OpNl22q .kp.Y <br /> City,State, Zip Connection Charge(s) • NQOJi6914 <br /> Owner (Mortgagor) � �w���� Total Fee ��-'�� • <br /> BillingName— _ • 1�R511 i4.n0 <br /> Connection By e� <br /> — ; <br /> Address Signed `�`/ <br /> cu:�ohK, <br /> Phone �SS 9��5 ' <br /> DESCRIPTION: Sewer District <br /> Lot�_ Block�_ <br /> Plat Monthly Sewer Service <br /> Unplatted Oescription�� Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> /-� ' Abutting Lot Line <br /> � .�nv��/ _ /'.rc � .� N, S, E, W ft. <br /> Approved By <br /> IMPORTANT! <br /> CAIL 1-800�424-555546•HOURS Issued By <br /> PRIOR TO DIGGING <br /> CALL 259�811 FOR INSPECTION <br /> Inspection By�� �+'6P r..r,�. <br /> Date Inspected �3� '�-� <br /> SEE SKETCH ATTACHED Np. ZS7HZ <br /> INSPECTION <br />