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i <br /> CHART NO. <br /> everett <br /> e <br /> City of Ewrott <br /> Sewer �4ppiication and Permit <br /> N0. ZV46O DATE ltosa�— '� ,••' ' <br /> Service Address Utility Account No. <br /> Billinq Address • • Permit Fee SO.00 <br /> City,Stete, 2ip ::onnection Charg?�s) <br /> Ovmer (Mortgapor) , Total Fee y�.�0 <br /> Billing Name� <br /> Connection By <br /> Address Signed � <br /> �.� <br /> customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service_ <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Typa Permit: <br /> Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br />, N, S, E, W ft. <br /> Approved By 11/:5/87 3s� pppp�t;188 3:tti <br /> Cit i n ��L <br /> IMPORTANT! �`''� <br /> Issued By `�� �10.W <br /> CALL 1500-024•5555 48•HOURS . <br /> PRIOR TO DIGGING <br /> Cf\LL 259�8811 FOA INSPECTION <br /> Inspection By <br /> Dateinspected <br /> SEE SKETCH ATTACHED No. 26460 <br /> INSPECTION <br />�--'-- -� ----'��---�-- --- --� — —� --� --- - --- — �--�-_.1-.-._.�—..�s�eti���e��l��.r.. - <br />