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� � � <br />�y <br />�Ht~i� <br />� � w� <br />� H � <br />N N <br />xo <br />H <br />OHd <br />�^�g <br />ww � <br />zH�H <br />Ny <br />gy <br />��� <br />�ou�yi <br />� <br />i <br />I �-' <br />f� � <br />1—= : <br />everett <br />� <br />City of Evere <br />Sewer <br />::'vV.�... <br />a ,tc4-i:.,3^...�. <br />c <br />� <br />tt � � � � � � <br />�] c; �-�, a 3 �a <br />e; Ya .e• .+ de M <br />( <br />Application ar�d:Pe�'r�iit � _ � - <br />ca : i�:._ rs � `p,� �,,1 r� <br />� 4� ��� �h "� �j . �n <br />N0. ����� DATE '"t December�l9, 969 �. -•. <br />Service i,ddress�9��Q�E_.•_, } q�y <br />Billing Address g7�r,Y3rd-Are. HS <br />City, State, Zip gee�Ele�iih 98}�5 <br />Owner (Mortgagori—���{;� <br />Billing Name <br />Connection By <br />Address <br />Phone 526-7679 <br />D[SCRIPTION: <br />Lot B <br />Plat <br />Unplatted Description_ <br />Type Permit: ��� <br />Remarks: <br />IMPORTANT! <br />CALL I�800-024-555548�HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />TO POSTING_S_s-�3 <br />Utility Account No. <br />Permit Fee z.50 <br />Connection Charge�s) <br />Total Fee 2.50 <br />Signed � � � � � �� � <br />Cuslomer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />M - <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By �r.raaD R 27rEnL <br />Ciry Engineer <br />155ued By S�sv�auam <br />' /_ , G�S�— <br />Insaection B � , L <br />Datelhspected <br />No. z7��3 <br />INSt'ECTION <br />• <br />