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/'1�.. � '� � �:r:1 <br /> evereK <br /> e t�.- ��- Lo� - _�"- <br /> � _ � � - �� <br /> , ,_ <br /> C.1� O� EV@fCit �y.� ��� <br /> Engineerinp Department <br /> Sewer Application and Permit <br /> N0. L �. �� �` � DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, Zip Connection Fee__ <br /> Owner (Mortgagor) Total Fee _ <br /> Billing Name <br /> Connection By <br /> Address Signed _ <br /> Customer r--� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthiy Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> r . Abutting Lot Line <br /> ,__ _' '- N, S, E, W ft. <br /> Approved By <br /> Ciry Enpinzer <br /> Issued.8y _ <br /> inspection By _ <br /> Date Inspected__ <br /> a <br /> SEESKETCH AT7ACHED NO. �' � � , _ <br />