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��� � <br /> O <br /> �H rn CHART N0. I <br /> ���e everett <br /> �� � � �, ! <br /> � �. <br /> �z I � TO POSTING� Z ./4 L <br /> � ci�y or e�eren � � ;� S ; <br /> o�H �y ' : :c .: <br /> ly tq O I 'e. <br /> ��" Sewer ApFilication and Pe�.�� �� <br /> H� � °� ,_, I <br /> �H I _ - � � <br /> y <br /> ' 27240 �- 71� y .� � i <br /> ���y N0. DATE Julv 10. ]4C2 <br /> � � 1505 N. Gtina Rd. _ <br /> y � Service Address Y���._ Utility Account No. <br /> 4 N I <br /> Billing Address��} —_ Permit Fee 2.So <br /> � <br /> ( City,State, Zip �_ Connection Charge�s) _ <br /> IOwner (Mortgagorl�}h.-- Total Fee 23n <br /> � Billing Name �_ i <br /> � Connection 8y - -- — i <br /> I <br /> I Address �_ Signed <br /> a�.�o�, <br /> R^. .,� i <br /> �� \ Phone <br /> �i DESCRIPTION: Sewer District � <br /> � � Lot z� Bluck � <br /> C� Monthly Sewer Service <br /> Plat�--.--���,,, I <br /> Unplatted Description "donthly Sewer Constr ', <br /> ' Trunk i <br /> I � ' Typa Permit: I <br /> �� � Lareral � <br /> Remarks: � <br /> Abutting Lot Line �'•� <br /> ��_� i N, S. E, W— ft.L <br /> I <br /> I I <br /> ' ,1 I ---- � <br /> I <br /> Approved By ►r.sonn S �gq, <br /> Cnv Enpinem <br /> j IMPORTANTI � <br /> �� , Issued By c...��y�.. <br /> CAIL 1 800d24�5555 48�HOURS . <br /> '' PRIOR TO DIGGING <br /> � y <br /> � CALL 269A811 FOR INSPECTION / � <br /> / // � <br /> ' .- -- --_---- —�Inspection B " . <br /> ' — --- __JDate Inspected�> >l,�/R <br /> i SEE SKETCH ATTACHED N0. 27240 � <br /> If:� . � �'.��ii ':' <br />