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CHART N0. � �'� ��-s <br /> everetl <br /> � 7 �98� <br /> � / <br /> City of Everott C�,j,T %c� fNn�r��;r <br /> .FLGN(� /✓i T// BfUFt//JE <br /> Sewer App�ication and Permit � aE �c'E'TG.c.r/r'.o <br /> N0. �"��:jv DATE �29/87 <br /> Service<�ddrr.ss ���COl� �~°� Utility Account No. <br /> Billing Address lSO�t 19tS.� f�sn� S.Z. Permit F�e �•� <br /> City,State, ZiF� �rntt, 1�/a. 98204 Gmnection Charge�s) <br /> Owner (Mortgacror)_��t�7 �'�O�r� �OtnQ�Ag� 2AiQTatal Fee 30.00 <br /> Billing Name _ _ ��� 1171-85 <br /> 1►atar 159.17 <br /> Connection By.. �M= �19.62 <br /> Address ;igned <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District — <br /> Lot 5-6 Block �� <br /> Monthly Sewer Service <br /> Plat C3�---��ya�s-ls�- <br /> Unplatted Description Monthly Sewer Constr. <br /> --- Trunk <br /> Type Permit: � ���pi <br /> Lateral <br /> Remarks: g u laatll M�18ano� Or�oliihed <br /> Abutting Lat Line <br /> N, S, E, W „ortMM ft. <br /> Approved By �• R• �� <br /> City Enpineer <br /> IMPORTANT! E, p� <br /> Issued By <br /> CALL 1�800�424-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8871 FOR INSPECTION � <br /> Inspection By� �"6``�� <br /> Date I nspected �'2' �"k <br /> SEE SKETCH ATTACHED No, 25438 <br /> li�:: i'LL;"il(.iPJ <br />