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�/ !0_^9�ti <br /> t CHART N0. ! ` 1 <br /> evereN <br /> e , <br /> � �q of Eve�+tt <br /> Sewer Application and Permit <br /> �os�eo k:B. - 2t - 3 <br /> N0. 24639 DATE . <br /> -�� <br /> Jtility Account No. <br /> Service Address permit Fee . <br /> -. � <br /> gilling Address �qnnection Chargelsl <br /> City,State, 2ip Total Fee . <br /> pwner (Mortgagor) <br /> Billing Neme <br /> A <br /> Connection BY Si9ned c�:�om�� <br /> Address ' <br /> Pho�e g�er District <br /> DESCRIPTION: Bl�k�� Monthl�'Sewer Service <br /> Lot�-- $eW��anstr. <br /> Plat Monthly <br /> Unpiatted Description Trunk <br /> Type permit: Lateral <br /> Abutting Lot Line ft, <br /> Remarks: N, S, E, W <br /> . <br /> 1N< <� <br /> APProved BY <br /> Issued B <br /> � �"'sY+ <br /> Inspectian BY � <br /> �- Date I nspected �� � f J .� <br /> No. 246�9 <br /> SEE SKETCH ATTACMED <br /> INSPECTION - <br /> , .� <br /> L � <br />