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CHART NO. �—��`� <br /> everefl <br /> 5 12- 2�-y <br /> e <br /> c�cy of e�e�ett �jl� <br /> � <br /> Sewer Application and Permit <br /> / 'Y, <br /> No. 23423 �ATE _ / � ` �/ � <br /> Service Address '���J ���y�L�,��yb,� Utility Account No. <br /> Biliing Address Permit Fee /n �� <br /> City, State, Zip �.2����� �_ 2�oj Connection Charge(s) <br /> i Owner (Mortgagor�� , �2�_�.�,_J Total Fee /o �"� <br /> Billing Name - <br /> Connection By <br /> Address Signed <br /> Customcr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot � Block <br /> Plat Monthly Sewer Service <br /> Unplatted De ription Monthly Sewer Constr. <br /> Typ Permit: Trunk i <br /> � Lateral <br /> Remarks: �O <br /> Abutting Lot Line <br /> C'E� �{ N, S, E, W ft. <br /> � 10 <br /> C. < <br /> � <br /> � � Approved By .- <br /> City Engineer <br /> � ; <br /> i i <br /> ISSUCd I3Y <br /> 5' <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH A'F7'(aCHED NO. 234Z'� <br /> �� � <br /> l'; <br /> IPISPECTIGIJ <br />