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. .. - . . , :q_; <br /> •�:;' . - , . , CHaHT N0. N �' � Z4 �S .. <br /> �' <br /> � <br /> lYKe1t j <br /> , <br /> e � � <br /> ,r, - <br /> '," (-bs1� 9-19-80 <br /> City of Ev�+tt F M <br /> � �, � i��� <br /> Sewer Appl'K�ion and Permit <br /> N0. Z3�� DATE ��+��0 <br /> Se►vice Address 1�OS Ost�s Utility Accoun: No. <br /> Perrt,�t ree ���� <br /> Billing Address —�— <br /> Connnction Chargels) <br /> City.State, 2ip �ef� <br /> Total Fee <br /> Owner (Mortgagor) <br /> Billi�g Name <br /> Co�naction By_ Citl o! i��s��! <br /> pop Mill�! <br /> Signed c�:�o„�e� <br /> Address <br /> Phone_---- <br /> Sewer District <br /> DESCRIPTION: <br /> Lot� Block Monthly Sewer Service <br /> Plat_ Monthly Sewer Constr. <br /> U�platted Description._�— <br /> Trunk <br /> Type Permit: s�P�1r �a�nral <br /> Remarks: Abutting Lot Line ft <br /> N, S, E, W <br /> l s.� ,� ! � 5. S �/�i� <br /> , � : fr , � <br /> �, <br /> ��f s . _� �" ` Approved By R• xarsen <br /> . c� i= <br /> City Enqineer <br /> ISSUE'd BY�� <br /> Inspection By '� "!� i >/� , % , � � <br /> � � .G'C_-- <br /> Datelnspected � <br /> No. 23734 <br /> SEE SKETCH ATTACHED <br /> IINSPECTION <br />