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evereri <br />� <br />City "� Evereit <br />Sev�aer Applicatio� and Permit <br />No. 22837 DATE % " ' ' <br />CHART N0�"�� <br />� I <br />�� � � �� !I <br />O_ �a - % � �I <br />� <br />�s-i /� ; <br />, <br />Service Address � i % Utility Account No. <br />Billing Address_ _ Permit Fee - -- — <br />City, State, Zip !;onnection Charge(s) -- <br />Owner (Mortgagor) � Total Fee <br />Billing Name <br />— _— <br />Connection By � <br />/ <br />Phone <br />DESCRIPTION: <br />Lot I � �-- B <br />Plat _ — <br />Unplatted Description_ <br />�I Tvne Permit: .. <br />% � _� <br />Signed — <br />Cuslomer <br />Sewer Uistnct <br />Monthly Sewer Service. <br />Month�y Sewer Constr. <br />7runk <br />�EESKETCH ATTACHED <br />i— ��""'f?CTIO!; <br />Lateral <br />4butting Lot Line <br />N, S, E, W <br />y� <br />�ppioved By <br />Ciry Enginccr <br />ssued B <br />Inspection By <br />l_�,f. V' . �//A� /:� /A� �� <br />i �- � <br />�ate I nspected_ � 7.�1 <br />No. z2s3�� � <br />