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everen <br />e <br />City of Everott <br />CHART NO. <br />�,�nrr -ro ti�,-� �r�e, <br />,�_,-t_a:9 <br />Sewer Application and Permit <br />N0. ����� DATE �y 11. 1989 L <br />Service Address 1646 ri��i �_ Utility Account No <br />Billing Address_ �210 198tA $T• sN /109 _ <br />City, State, Zip �� � �036 <br />Owner (Mortgagor) ��° ��- �• <br />8illing Name �� _ <br />Connection By s+� <br />�� <br />Pnone ns-ass <br />Permit <br />Connection Charge�s) �70.00 _ <br />Total Fee ]0.00 <br />Otility D�wlopMat tN OrA. 1171-BS <br />wt�r 179.00 <br />Nwr �71.0 <br />(�,_.�t..�l ��� / <br />_, _r—� <br />i <br />Signed � /i ,�..-::y� <br />to i <br />DESCRIPTION: Sewer District HO°d I= <br />Lot Block <br />Plat Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTF.NT! <br />CALL 1-800�4245555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�6811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk ��e_ee <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By N'�d R' �L <br />Ciry Enpinea <br />Issued By swy Haug�a <br />Inspection <br />Date I <br />INSPECTION <br />No. 27173 <br />