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everett _ <br />e <br />City of Eventt <br />Sewer Appl'Kation and Permit <br />N0. ZBB6Z DATE !�n S, 19et <br />S�rvice Address i�Y�lrMari i��. <br />Bilii�p Addreu <br />City, State, Zip <br />Owne► (Mortp�gor) ------ <br />8111inq N�me <br />Connection 8Y <br />� <br />Utility Account No. <br />Permit Fee 1C.00 <br />Connecr^� �hargels) <br />Total Fee 1�•0� <br />Signed � <br />. Ccstumer � .. <br />DESCRIPTION: Sewer District <br />loR Blxk <br />�: Monthly Sewer Service <br />tMpl�tt�d D�xiption Monthly Sewer Constr. <br />Permit: <br />IMPORTANTI <br />CALL 1�00�424�f'i661&HOURS <br />PRIOR TO DIli01N(i <br />GLL 2682877 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk <br />Lateral <br />fkS/t!5/dE 3r1?Pfl UDaiYD161 #12 <br />Abutting Lot Line ! <br />N, S, E, W IM]tlt��6662 ft, <br />SE1�R t10.00 <br />iGqf�i �1Q.OD <br />Approved By irs�ee L �c <br />aty eoan..r <br />Issued B � f.... <br />Inspaction By G-/�!"F� <br />Date tnspected '���^ <br />No. 26662 <br />INSPECTION <br />.LA.���.....l�A4i..l .....�:� .. .":.. �. :' .:. .'. . � .. . . . . '... . <br />