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everett <br />e <br />C.ILY Of EVBIBtt <br />S�wer Appli�ation <br />N0. �`5`�98 DATE <br />YS• <br />O <br />x ��8g�i'~Su'i� .9�' <br />.1 :ri r.i o- .� tn c� � rr�. <br />.� r r+ r', «. .+ r- <br />�C W M W W� W <br />N <br />an�,Perrr��. � <br />Tj �j ts "� `5_ <br />� �'i 4^ — 5�, W� <br />U' 1 u':J' i 41'a � <br />�Apz�l"'li,�`'T9�6 � �E � �S <br />Service Address 2s� �1Lid� I.�tr <br />Billing Address 3233 – S�Lh St SN <br />City, State, Zip i'wz�tt 10► 9820� <br />Owner (iUlor[gagor) �� B ��r1�9 J Fierau <br />Billing Name�— <br />Connection By ����+�1� ��truc�ioa <br />Address 11�19 Dot2w11 Nav �nrntt 9820� <br />Phone Y�� 1]�-69+3 <br />CHART N0. <br />S�� '% % O �//� 'T/2."� 7 � � � 7 <br />Utility Account N <br />Permit Fee_�0•00 <br />Connection Charge�s) ���'� <br />Total Fee 30.00 <br />Sp�cial F��e, Ordinanca 1171-85 <br />Nater 12�.00 <br />Sewez 589.00 <br />813.00 <br />Signed <br />cu:�omer <br />DESCRIPTION: <br />Sewer District � II <br />Lot 1 Block 2 <br />Monthly Sewer Service <br />Plat��� �1�� <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Type Permit: <br />Lateral _ <br />Remarks: <br />IMPORTANT! <br />CALL 1500-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By �� R ��' <br />Ciry Engineer <br />issued By ���t ��� <br />InspectioryF}.,� `�46e%""`— <br />Date I nspected G �� ��� <br />No. 25598 <br />INSPGCTIO�! <br />