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CHART N0. <br /> everett <br /> � <br /> City of Evsrett � <br /> Sewer Application and Permit <br /> No. 252gg DATE � � _ <br /> Service Address___�__q �_�EGv/ '?� Utility Account No. <br /> , � � <br /> Billing Address � Am � Permit Fee � <br /> City, State, Zip Connection Charge(s) <br /> C�wner (Mortgagorl ���-L�S V l� Total Fee �Q �— <br /> Billing Name_s��M C <br /> Connection By �1Aoyj� <br /> Address Signed � � J <br /> � � -� cuscomer <br /> Phone_v�o ' <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: � Trunk <br /> Lateral <br /> Remarks: . <br /> Abutting Lot Line <br /> _ t C� N, S, E, W ft. <br /> __� f c O�-t � tJv �( C_ <br /> Approved By -%' ' �� <br /> City Enpinear <br /> Issued By ' <br /> ,. <br /> I nspection�,y��v�°%AN <br /> Date Inspected �o ' � �� <br /> SEE SKETCH ATTACHED NO. ��g <br /> INSPECTION <br />