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evereit <br />e <br />Ly o verett /' w <br />l/ ` f <br />Engineering Department <br />Sewer Application and Permit <br />NO. 20931 DATE <br />Service Address 1,9 / I UL! L /_ �L <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />DESCRIPTION: <br />Lot -- <br />Division or Addition <br />Type Permit: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Utility Account No. <br />Connection Permit <br />Connection Fee_ 4z(;o6: UO3-it 7! <br />Total Fee <br />Signed <br />Customer <br />Sewer District P ` / q <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />tting Lot Line <br />N, S, E, W ft., <br />roved By_ <br />City Engineer <br />n <br />ection By <br />Inspected ,4 nko / t • / 9, <br />NO. 209'3J7 <br />0 <br />