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CHART NO. <br /> everetl <br /> e <br /> City of Everatt <br /> Sewer Applicatio�n and Permit <br /> No. 25441 UATE �� <br /> Service Address �� ��1 �►�� Utility Account No. <br /> Billing Address 9�= l� ��� 8•E• Permit Fee �.SO <br /> City, State, Zip_ ��tL, Na. 98201 Connection Charge�s) <br /> Owner �Mortgagor) �tfMY �1�L Ca��tnctisg Total Fee Z•� <br /> Billi�g Name <br /> Connection 8y <br /> Address Signed <br /> Cuttomer <br /> Phone <br /> DESCRIPTIUN: Sewer District _ <br /> Lot 6 � Block�y�� <br /> Monthly Sewer Service <br /> Plat +�.�;��._�_ <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ,.-- -'�, — <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> " Approved By �• R. 11Ma1 <br /> CitY EnOinen <br /> IMPORTANTI <br /> CALL tA60d24-5655 48•HOURS ISSued By a• Bond <br /> PRIOR TO[11GGING <br /> CALL 259�&817 FC�R INSPECTION <br /> Inspection By-�.—� `�``/�`"" <br /> Date Inspected 7-'Z 3"�� <br /> SEE SKETCH ATTACHED No. 25443. <br /> 1iJ:;l'Ei: llii�; <br />