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everett CHART NO. <br /> e ��-� <br /> / , ,,q � <br /> City of Ewntt <br /> Sewer Application and Permit <br /> No. 27143 DATE �Drl11f. 1lb <br /> Service Address 2� t� �• Utility Account No. <br /> Billing Addreu �� Permit Fee �.00 <br /> City,Stete, 2ip ��t, la 9Y201 Connection Charge�s) �� <br /> Ow�e► (Mortgagor) � �L / �ld ��� Total Fee �0.00 <br /> Billing Name a� �uty D�wlo�wt M OoM. 1171—tS <br /> rt�r ��1.M <br /> Connection By *+'��� �1 = ;J=1 �N <br /> r .ri <br /> Address !.0. Ms 7�25 Signed�y� 7,f': � r;.r . ; <br /> / C t0 Mf <br /> rll�Ae ��_ � �Yl j <br /> y <br /> DESCRIPTION: Sewer District 1leetn ue <br /> Lot u—+� Blxk ��i <br /> Plat ��ts � � Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By aLTI�D L ssaL <br /> Ciry Enyinaa <br /> IMPORTANT! <br /> CALL 1�00�424b66546•HOURS Issued Bv ir7 �aw <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION � <br /> Inspection B <br /> Date Inspected /� 90 <br /> SEE SKETCH ATTACHED NO. 27143 <br /> INSPECTION <br />