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t <br />i. <br />evereri <br />e <br />City of Everatt <br />Sewer Application and Permit <br />No. 24728 <br />Ser <br />Bil <br />Cit <br />Ov <br />Bil <br />Co <br />DATE .��,LZJ ��,C-- <br />CHART NO. L- 30 -z 9^S <br />0 <br />+�d z-io <br />Utility Account No. o <br />°i <br />Permit Fee �� <br />Connection Charge(s) <br />Gi�� <br />Total Fee �� <br />Signed � <br />cu:mmer �� . <br />DESCRIPTION: Sewer District <br />Lot Block <br />Monthly Sewer Service. <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved BY `��1' ' e%'!2� <br />ciry engfoeer <br />ISSUf(� BY � l � <br />InspectionBy�� �a�Oe�w�.c+ <br />Date Inspected 1•( 1-f y <br />No. 24728 <br />� <br />� <br />..� <br />J <br />`1 <br />� <br />J <br />� <br />t� <br />