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everett <br />e <br />City of Evelm <br />Sewer Application and Permit <br />No. 26108 DATE I • ;I I, ^ F-7 <br />CHART NO. <br />Service Address 2'-' I '? - z LI" b 6" S 1 IJI+f Utility Account No. <br />Billing Address Permit Fee <br />City, State, Zip Connection Charges) <br />Owner (Mortgagors_ Total F <br />Billing Name <br />Connection Byy� <br />Phone <br />DESCRIPTION: <br />Signed <br />Customer <br />Sewer <br />Lot Block <br />Plat M Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Wti v e&-, t' <br />Remarks: <br />41.:. <br />�1 r�,� dl��i�e•� <br />Deep "47- ➢• L <br />1�I / ,.2,4 Ig IMPORTANTI <br />CALL 1-80OA24-555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259.8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Gly Engineer <br />Issued <br />Inspection Bf%lC�"J i1Le,� <br />Date Inspected���S���7 <br />No. c61O8 <br />UTILITY BILLING <br />