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everetl <br />e <br />city ot Eve►en <br />Sewer Applic�tion and P�rmit <br />No. 23482 DATE �/�/� <br />eo9 lusch rlaca s.e. <br />Service Address <br />•09 lOSth Place �.E. <br />Billing Address_— <br />ENl�ttr Ma. 9820� <br />City, State, Zip <br />Owner (Mortgagorl� �� <br />Billing Name <br />JLe Mt� <br />Connection Bv p�nl 1�/� 1Natlrr�A <br />Phone �36-2517 <br />DESCRIPTION: <br />Lot 5 Block_ <br />Plat ��r� Pl�! �1 <br />Unplatted Description <br />Type Permit: �� �'��°�iO° <br />G�� <br />� �� <br />CHART <br />f" /9 �'la-s <br />i�os f� � <br />Kirk 3✓oak5 <br />z-z�-ar <br />75896-6 <br />C.'lity Account No. _ <br />30.00 <br />Permit Fee _ <br />702 . SO <br />Connecti��n Chargelsl--_ <br />�0.00 <br />Total Fee__ _ <br />Si�ned <br />SEESKETCN ATTACHED <br />ir��,�� ��i��, <br />lb Dond III <br />Sewer District <br />Monthly Sewer Service_�'80 __ <br />PAonthly Sewer Constr. <br />_ . ].]5 702.51) <br />�ateral_ <br />Abutting Lot Line <br />N,S,E,W <br />Appraved By p• H�Ir�f+ _ , <br />C�ry Enpmeer <br />E. B011d <br />�SSUC(� By -- <br />Inspection By_� �^' �''<<-`� — <br />Date lnspected_ _ 1.' • �/ 5 ', ' _ <br />N� 23482 <br />