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CHART NO. <br /> everett <br /> e = <br /> / � ��:� J <br /> City of Ererett ��o�Po��" No T,JMhtS <br /> Sewer Appl��ation and Permit <br /> N0. Z��`�Z DATE ^ � 1 ' �� <br /> � J� I �' C� ' b y 'Jtility Account No. <br /> $ervir.e Address �T � <br /> Permit Fee <br /> Billing Address <br /> Connection Charge(s) <br /> City,State, Zip _ <br /> Total Fee <br /> p;imer (Mortgagor) <br /> Billing Name <br /> Connectio� BY <br /> r � -F �/ n V�- C il c' r:=. �f-?' <br /> ----- <br /> Signed c�s�o�� <br /> Address <br /> Phone <br /> Sewer District <br /> DESCRIPTION: . <br /> Lot�— Block_-- Monthly Sewer Serv�ce <br /> Plet Monthly Sewer Constr. <br /> Unplatted Oescription <br /> Trunk <br /> Type Permit: Lateral <br /> �� r Abutting Lot Line <br /> Remarks: N S E w ft. <br /> qpproved By_ c��v E�c�^�n <br /> IMPGRTANT! Issued By ��n� � I�- <br /> ; CALL 7800d243555 48-HOURS <br /> PRIOR TO DIGGING <br /> � CALL 259�8811 FOR �NSPECTION <br /> Inspection By <br /> IDatelnspected <br /> I - No. 26952 <br /> SEE SKETCH ATTACHED <br /> � � U i iLIiY DILLINC <br />