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� <br /> CHART NO. <br /> everetl - <br /> � �F.vT Ta CNr7�cT.Kio- � <br /> City of Evcr¢tt S//S/8� <br /> Sewer Application and Permit <br /> No. 25809 DATE �ugus` 26. 1�_ ����� 10�17AM OOOf�N169� ttli <br /> NUW76911 <br /> Service Address_ ��6 B�ll Ate Utility Account No. n n+ d?o9•q� <br /> 6l17 E�ar Wy Perrtiit Fee �0�lQu �i�u�_n <br /> Billing Address_ �� _ <br /> Pill GN I61.18 <br /> City, State, Zip E�M'ett IIA 9520] Connection Charge(.1_ �s ��� st_�i <br /> C S7cf71 !15.W <br /> Owner (Mortgagor) ��011� DOyl�n Totai Fee 301�u �,'�,� m <br /> Sp�c1a1 Ut111ty F�pop�yr 1171-eS <br /> Billing Name_ �� _ Mate� 224.00 c,,�� K30,qp <br /> Sever 9:OQ �171-5 tB13.110 <br /> Connection By ppppp�170 <br /> MAiER 0�1(IO.OiI <br /> Address Signed NJYI(I�'Jd� <br /> Phone �SS-7710 c��r f�.� <br /> cFtEtx; Fzitt�.�a <br /> DESCRIPTION: Sewer District�p�th�nd <br /> Lot__39.24__ elock � <br /> Plat RueklP AddR Monthly Sewer Service_ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: d�M tnn��Ct10� T�unk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W__ ft. <br /> Approved By_ �l 7lu�l <br /> CnYEnpmex <br /> IMPORTANTI <br /> CALL 7�800d24•6555 48�HOURS Issued By ����.������ <br /> PRIOR TO DIGGING <br /> CALL269$811 FORINSPECTIUN /' <br /> Inspection�`=���'��"`'--- <br /> _ Date Inspected �' �' F7 <br /> SEE SKETCH ATTACHED N0. 25oOg <br /> IIP::;�'ii:': i(: i . <br />