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everett <br />� <br />City of Evere <br />Sew�r <br />�� <br />� <br />� <br />� <br />tt � $��?��� �� <br />L = <br />O� `J 4'1 � O <br />� � � rm,. � �:�� <br />S� x� W tI� bl � w� <br />Applicatia►n ar�c��errnit � ,. <br />O `�'�i�i^ u 7 u � �3� <br />% ���`�:..,:�.xs�f�s <br />NO. �+ L�� DATE � nugust 2, 19G9 <br />Service Address i� acn N.a�71 *ipn <br />Billing Address�o g �: 592 <br />City, State, Zip iak� ar..,,+..a %1L98758 <br />Owner (Mortgagor) u.�_� rirh <br />Silling Name r.-.,o <br />Connection By_ r--� <br />Address c . <br />Phone F,S,+-�n�a <br />DESCRIPTION: <br />Lot <br />Plat _ <br />li:�platted Descr <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL ?•800-024-5555 48-HOURS <br />PRfC�R TO DIGGItiG <br />CALL 259-8611 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />Utility Accaunt N <br />c ��/T^� Q (� s�-�Nb <br />Permit Fee 30.p0 <br />Connection Charge(s) 600.00 <br />� o -z-7- 3`j <br />Total Fee 30.f0 <br />Otility Developaent Pee Ord, i171-85 <br />�ar.�r 261.00 <br />a�xar 688.00 <br />999.00 <br />Signed <br />Customer <br />Sewer Di,trict �oad I <br />Monthly Sewer Service —. <br />Monthly Sewer Constr. <br />Trunk 110.00 <br />Lateral_�,�_ <br />Abutting Lot Line <br />N, S, E, W �p� ft. <br />Approved By �� R- 1RIEXL <br />Ciry Engineer <br />Issued By Soev aauaen <br />Inspection By___�i,L� <br />Datelnspected J'- Z� Bi <br />No. 27267 <br />INSPECTION <br />