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{ - , `.. : . - N-;i- �? CHART NO. �" — - � - ' .�— <br /> i <br /> everett �� s �`�� <br /> � e � <br /> ; <br /> �- •3 - � <br /> � <br /> iCity of Everer. � /) <br /> Enyineering & Community Services ��!�� • <br /> � Sewer Appli�ation and Permit ; <br /> � <br /> I ; � � � �_ <br /> � N0. ( � ! •�' n DATE <br /> I <br /> ; . � / ; , ;. ;/ <br /> � _ Utility Account No. ' <br /> I Service Address ' - i' <br /> i % ✓ Permit Fee - --- <br /> � Billing Address •i' <br /> I //� / �_' . � _ <br /> Connection Chargels) <br /> � City,State, Zip -- , — — <br /> Total Fee <br /> i Owner (Mnrtgag�r) ' <br /> '� Billing Name <br /> I <br /> � Connection By_-- -- =i /� ` �il� «tt' _ <br /> �' ` C., r'%�_ � <br /> � S19nCd Cus�omcr � <br /> E Address � <br /> - _ �. ,., U <br /> Phone <br /> �� Sewer District � �� �� T� <br /> ' DESCRIPTION: ' <br /> i Lot�� B�ock Monthly Sewer Service — <br /> I Plat �� — <br /> Monthly Sewer Constr. <br /> Unplatted Description_ <br /> . � <br /> Trunk <br /> Type Permit: Lateral ' � 'f <br /> lRemarks: Abutting Lot Line - Y � ^� ft. <br /> � N, S, E, W <br /> I <br /> iApproved BY Gty Engmecr <br /> I <br /> `� Issued By -- / <br /> 1 <br /> i <br /> i <br /> � � )�,.,� <br /> � <br /> I Inspection By�` ���s=�`=� <br /> � Date Inspected_ ���7`� <br /> � a N0. <br /> i SEE SKETCH ATTACHED <br /> , ��� , it.il�.' <br /> I <br />