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everea'1 <br />e <br />City of Eur.ret2 <br />� <br />Sh��rer A�plication and �'erm�t <br />N��. 23187 <br />DATE - <br />Servir Address , _ - --.-.-___ <br />- Utility Account No. <br />Billing Aodi .; <br />Permit Fee <br />City, State, Zip <br />Connection Charge(� <br />Owner (Mortgagor�___ <br />-- _ Total Fee <br />Billing Name -- <br />Connection By�__ -- <br />Address <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat _ _ <br />Unplatted Descri <br />TYpe Permit: <br />Block___ <br />CHART N0._ �'_� ` � � <br />Siyned j <br />Cusiomer <br />SEE SKETCH ATTqCHED <br />!NS!'CC;;��;; <br />Sewer Dis[rict <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />abutting Lo[ Line <br />N, S, E, W <br />--- ft. <br />pproved By <br />Ciry Engincer — <br />iUE'(j <br />pe�[ion 5y �;�; /; ,�:_ <br />._ _--�=—� <br />e Inspected �� j ;: <br />N0. 2��87 <br />