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� <br />everen <br />� <br />Cit�r of Evxett <br />CHART N0. <br />Sewer Application and Permit <br />NO. ZSQ82 DATE <br />Service Address �921 BaeLo� L�ur <br />S�pta�E�z 2�, 1985 <br />Utility Account No. <br />To �H,s,�T,ud <br />BillingAddress �� �s�'+ ��•r n�...� s_p, PermitFee �o.oD <br />City, State, Zip � onnection Charge(s) 270•� <br />Milci,l�teot..N__a�. �98275 <br />Owner (Mortgagor) 7en�nmesaa�lO�IR Total Fee 30.00 <br />Billing Name �• s��Q �in <br />Connection <br />Address <br />Phone � 353-5919 _ <br />DESCRIPTION: <br />Lot � Block <br />Plat � ��� <br />Unplatted Description <br />Type Permit: 11�v Cotu�tet��n <br />Os+din�nc� 4981-9� <br />800.00 <br />� � <br />Signed \ � �-` �� I\:<<.� <br />Cusmmcr <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer D <br />Monthly Sewer Service B SO <br />Monthly Sewcr Constr. <br />Lateral <br />Abutting �ot Line <br />N, S, E, W. <br />Approved By �• R. 7Rw�1 <br />Ciry Engineer <br />Issued By 8' �a <br />Hond II <br />z�o.00 <br />Inspection��—� �v P��h <br />Date Inspected S-L-rFC <br />rvo. 25282 <br />