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CHART NO._ <br /> everett <br /> � �p�"� C�r✓;:>� �f/3�89 <br /> cNr d Ewrott � <br /> Sewer Application and Permit <br /> No. 26323 DATE �+4Wt 71, 19l7 <br /> $�rvice Address �» ��w* �t Utility Account No. — <br /> Sllling Addrass �+s� �►�++ Ilyr Permit Fue �p,�+�+ <br /> City,State, Zip ���l07�M — Connection Chargels) :�,� ^�+ - <br /> Owner (Mortgagorl,�--• ��, taa Total Fee •^ oo - <br /> BIIIInpName �_ �fu ��h' �• �. 1171-sS� <br /> wbr 224.00 <br /> Connection By � - �= s�=� / <br /> 91].00 %; <br /> Addross Signed - <br /> cu�mmer <br /> �IOIM �� �WIO ' <br /> DESCRIPTION: Sewer District �a II - <br /> LM � Block � Monthly Sewer 5ervice -- <br /> PI�t �s ie.,.. Le���.� <br /> Unpl�tted Description Monthly Sewer Constr. <br /> Trunk <br /> Typs Permit: � ��w <br /> Lateral <br /> Remarkt: <br /> Abutting Lot Line <br /> N, S, E� yy— ft. <br /> Approved By u�� `- '�L <br /> c�rv e�o�n.er <br /> IMPORTANTI �� � �� <br /> issued By <br /> CALL 1SOOI24b665 48•HOURS <br /> PRIOR TO DI601N(i <br /> CALL 2fi9�8811 FOR INSPECTION <br /> / <br /> Inspection By <br /> Date l nspected � -�1 -PP <br /> SEE SKETCH ATTACHED Np, ZG323 <br /> IINSP[CTION <br />