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�\ 1 <br /> \�11£T2� <br /> �� =.9 a, a,.� � �r�"' �, <br /> � ' r,� �� f�'e <br /> Cibj of [verett <br /> Engineering De�artmsnt <br /> 5evmer A�pl���+�i�n a�nd �errnit � � <br /> NO. _ _ _ DATE <br /> Service Address_ Utility Account No. <br /> Billing Addre:os _ Connection Permit Fee <br /> City, Szate, Zip Connection Fee <br /> Owner (Mortgagor) _ Total Fee <br /> Billing Narne <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Se,ver Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit <br /> �ateral <br /> Remarks� �-- <br /> Abutting L�t Line <br /> _ . ft. <br /> .'. _. . N, S, E, W— <br /> Approved By <br /> Ciry Engineer <br /> Issued By <br /> � a <br /> Inspection By " � <br /> Date I nspected <br /> B <br /> SEE SKETCH ATTACHED N0. i '� ; <br /> �N` <br />