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� <br /> CHART N0. <br /> everetl <br /> � <br /> City of Everstt <br /> Sewer Application and Permit <br /> DA7E <br /> � N0. <br /> ��r7+ � �,:,�,-rl UtilitYAa°untNo. <br /> F � i <br /> Service Addr permit Fa � <br /> .>:'.�r, �rd,1C S: <br /> BillinqAddr� L.`.j`;,-_. `,�,�. � <br /> Connection Chaqelsl �� <br /> ccv.suu,z�a 3 <br /> -» / L•o:'si,��T ��B.GYi ll'r��� Total Fee O <br /> Q/r O° <br /> Ovmu lMon9'9�:) u�c4 � 0�� <br /> .�-, _;. EOT.i�:� S!� f' <br /> Billing Name - - <br /> �'�,-,, dF r.:'C.::-i -.. -n.�Y <br /> Connection BY \�I.,'��'`_t ` •. �'��. �._� <br /> � y'�to Ctc(.�•.I Signed cma�n <br /> Address <br /> Phone <br /> 1 S� �i'rG�'ci <br /> S�yer DiririR��—'��� <br /> OESCRIPTION: B'�k—� Mo�th�Ys�rSmicc <br /> Lot_�- <br /> Plai �T�V„�. a.cici. �J=�.,'.:K„�A� MonIhlYSewvConrif. <br /> UnPlntted Desc*iption Trunk <br /> 7ype Permit: J.,�r ."^.c�'- Letcral <br /> Remarlcs: AM+tting Lot�LiM h <br /> N, S, E, W <br /> ApprovedBy G�vEq� <br /> Iswed B <br /> �-�— <br /> Inspection By <br /> Date linpecled <br /> N0.' <br /> � �/f � .� .��5-�GSEE SKETCH ATiACHED <br /> / G.�-al�,,.�o�. <br /> (s-�.�� 3 <br /> �6. �F� . <br /> 77 <br />