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� <br /> I <br /> , � <br /> � <br /> CHART NO."? `�`�- 1��- `� <br /> �rett � <br /> �m$>' L� <br /> � .� <br /> City of Even:tt /�� / � ' <br /> ! <br /> Engineering 2§ Commanity &ervices /� • <br /> Sewe�r Ap�lication and Permit <br /> , <br /> NO. �: 1 :, s; .:i DATE ' I � -/ <br /> Service Addre;s�,.% " '"' i � �� Utility Account Nc�. <br /> `" =. - -:> � ('-U � <br /> QillingAddress = �� � -%ti�� � � � � •-' � PermitFee �-�� <br /> City, State, Zip� l-'t::% (_»- , �(��� . �7 c_1("i Connection Charge(s) <br /> Owner (Mortgagorl � � � '- �%C:.�,Iz �t�l.� .le-%Cr '�;� � �' f <br /> Total Fee <br /> Billing Name .J�.����c- <br /> Connection By r`,c..ti..r �_ <br /> Address � -�.�1.. '�r.i� �t i i �j :' , <br /> Signed <br /> � / t ,' `, I Customcr <br /> Phone_�,--�- �! - 4d'z7 / G�� Z . ,,- ,-. <br /> DESCRIPTION: Sewer District �`-� '- t� f r �L.,�-: � <br /> Lot �� _ Block G =. <br /> Plat -- �-l�- � �'�.- � - T.' Monthly Sewer Service ��tC-`+'�x-L=%> <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> — �,�1'._..0 �.��. � ti)�c7, � � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W fL <br /> Approved By (_ � r l�N��N �� <br /> Ciry Engineer <br /> Issued By � �a � �/.1��'t-� <br /> 1 <br /> , , � <br /> _, <br /> Inspection By - � � crC <br /> 3 P �� z�b� — r <br /> Date Ins ected <br /> SEE SKETCH ATTACHED Np, i � <br /> � - _— - �. �_ . '" ���,T'�-ir! <br /> r ���t ;"� �"� c �.� ._,a z� �r�`sr.�� y,�,,, , <br /> ._.:_s,.":i .._ . ..—_ .__..__.p ._ . .. ' --i,..__..� .,_�.._]:.�.- � . _�... <br /> � <br /> I� <br /> � <br />