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_ , <br /> CHART N0. � <br /> everett <br /> . e � . G: <br /> i -2� �� � <br /> c�ty ot E�c <br /> � <br /> r� <br /> Sewer Application and Permit <br /> No. 23T38 DATE 9���s0 <br /> Service Addreu �117 lla� �Lr��t _ Utility Account No. <br /> 1�10 11�lh ■.s• s�iL� 1 1.50 <br /> Billing Address Permit Fee <br /> City,State, Zip ��li����' Na. 1100• �nnection Chargels) <br /> 4.50 <br /> Owner (Mortgagor) ��ti szo�. Cof�e. Iso• Total Fee <br /> Billing Name <br /> 1�lh ire�. Ces�t. Iaa. <br /> Conoection By s� ' <br /> %' '� <br /> � � ��..!�;,n n / ,r'..�_.. .� <br /> Addross Signed <br /> � _ customer <br /> Phona ts�—f41� <br /> DESCRIPTION: Sewer District <br /> � Lot � � Block 7!0 <br /> Pl�t <br /> iMs�tt La�� C�t�7'� 1�t Monthly Sewer Service <br /> Unpl�tted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: C —�t! <br /> Lateral <br /> Rema►ka: Abutting Lot Line <br /> N� g� E� yy ft. <br /> 5 R. 11ars�� <br /> Approved By <br /> CitY Enpinew <br /> _• SO1Q <br /> Issued 8�V <br /> Inspection By <br /> Datelnspected <br /> SEE SKETCH ATTACHED N0. Z3T38 <br /> INSPECTION <br />