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I CHART NO. — �—z `�' `� <br /> everett <br /> e � �-� <br /> , r, ,,� ' <br /> cfcy ot e�e�en c� - <br /> I <br /> Sewer Application and Permit <br /> �I <br /> No. 23318 DATE __1/ '' � '�'' �--- ------ <br /> , <br /> Service Address _ ' T Utility Account No. <br /> Billing Address Permit Fee <br /> City, State, Zip Connection Cliargels) <br /> Owner (Mortgagor) Total Fee --' <br /> Billing Namc <br /> Connection By ' f <br /> Address � Signed -� ---- <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Peimit • <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N 5 E, W (t. <br /> ,.. ) �n ( � .. t r � l � �i , e � <br /> �_ ✓_ <br /> / � �[ Approved By - <br /> 1�—.. ,(� � /' �/� ��7 � � r. f" Ciry Engmcer <br /> _ ri <br /> . - � 1� �•�l� ���. �l � 'i��. . ,. . ' . _ - ' <br /> .�.ii��rl ��� <br /> ���� � � <br /> I <br /> _� _ <br /> __ If15�l1'Cli011 �Y_—.:_:-=/-L!�_�-- _ _ — <br /> _ _JOate Inspected_��� � � � — <br /> SEE SKETCH ATTACHED No. 233�8 <br />