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. BVCfI'h � . . <br /> /' ' � <br /> � /' . � . . . '_ <br /> i <br /> Clt�� 01 EVCrett �� I <br /> Enyineering Oepa•tment II <br /> Sevve� �'�p��icc�i�inn ar�d P�rmit <br /> NO. ; ( j �,,, J ,� DATE <br /> Service Address_—__— Utility Account No. <br /> Billing Address._ Cannection Permit Fee <br /> City, State, 'Lip <br /> Connection Fee — <br /> Owner 1Mortgagor�_ Total Fee___ — <br /> Billing Name — <br />� Coi.nection By — — <br /> Address Signrd------ -`----- -- ------ <br /> r.tomer <br /> ��IOIIC — <br /> DESCRIPTION: SewerDistrict_ _ ___-- ----- -- <br /> Lot Monthly Sewe•Service_ _ __. —. — --- <br /> Block <br /> Division or Addition _ Montnly Sewer Constr. <br /> — irunk_ __— -- <br /> Type Permit: <br /> Lateral <br /> Remarks: Q k G,,,.y-r �J , r� Abutting Lot Line <br /> �� rco � ,.ti..Gi 1... � � T.�. , N, S, E, W— — - tt. <br /> T � � <br /> �j— d._ '7 �I <br /> � I <br /> � k -�. �.��- -� , ca <br /> ( �� �^<-�- `.s� � `"" -- - ---- - <br /> a��u����d [�v— <br /> � C�ty Enymrai <br /> Issued By -- --- <br /> Inspection By�l �`��� --- <br /> Date I nspected /�1�+ � � 7 , ��%_� -- <br /> �T <br /> ,; SEE SKETCH ATTACHED N0. <br />