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• e'verett � : � � � <br />� � r� � <br />i� �. <br />� � � � <br />; <br />, �-' % i . <br />� <br />� �,� <br />City of EvereY <br />(�i"�.I;. <br />Engineering Department <br />Sewer Application and Permit <br />N0. ?Q�(�� DATE <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) _ _ <br />Billing Name <br />Connection Bv <br />Address <br />Phone__ <br />DESCRIPTION: <br />Lot _ <br />Block_ <br />Division or Addition <br />Type Permit: <br />I - <br />1 , '_, . <br />APR 17 19ir. <br />, �„ �;�, ;. <br />34rl�tJ. <br />Utility Account No._ <br />Connection Permit Fei <br />Connection Fee <br />Total Fee <br />Signed <br />Custcmer <br />a <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly S.aver Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By___ _ <br />Ciry Enginecr . <br />I SSU l'[J <br />Inspection By L���=��� ��^�—���" <br />i' <br />Date I�spected -` // �.s� <br />i � <br />NO. ��+ ; n <br />� <br />