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CHART N0. M 2� ' Z�f- S <br /> everett <br /> e �• <br /> CILY Of EYBfEL[ p��ED `+^�Jr�7O <br /> Sewer Application and Permix RJ <br /> N0. 2351Z ' DATE 2/Z7/80 <br /> 2316 Broadray <br /> Service Address Utility Account No. <br /> 2]18 Sroadwa <br /> F3illinc 4ddress y Permit Fee �•50 <br /> City, State, Zip Everatt, Ha, 98201 Connection Charge(s) <br /> Owner (Mortgagor) pan Haaen Total Fee 2•50 <br /> P.illing Name S�° <br /> Connection By � <br /> ; , <br /> Address Signed � �� � ��` <br /> � I ' � �� Custamcr � � <br /> Pho�e 252—�355 <br /> DESCRIPTION: Sewer District <br /> Lot ZS Block 494 <br /> Plat Fverott Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Gp—off <br /> Trunk <br /> Lateral <br /> Remarks: <br /> - Abutting Lot Line <br /> N, S, E, W tt. <br /> . �// I <br /> I <br /> Approved By ��• rlarr�n <br /> Ciry Engineer <br /> E. eond <br /> Issued By <br /> Inspection By�_� /�- «`"` -"" <br /> Date Inspected � ` � 7'�� <br /> SEE SKETCH ATTACHED No. 23512 <br /> INSPCC7i�N <br />