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CHART NO. <br /> everett <br /> e ��.1��, ��«�z=� ��_z ; _�� <br /> City of Everott <br /> Sewer Application and Permit <br /> NO. ��Ovv DATE � e 198s <br /> Service Addreu . Utility Account No. <br /> Billing Address e--- Permit Fee 3n.00 <br /> City,State, Zip �t� 11� tlp�0� Connection Charge�s) � <br /> Owner (Mortgagor) ++-��.��� _ Total Fee 30.00 <br /> rnti�c;, cu..iop..sc r.. oa�a. ini-as <br /> Billing Name wat�r 82.23 <br /> swrr 216.77 <br /> Co�nection By �pMK / 299. <br /> �' J/ <br /> Address e■,� Kti it B i��e�N• Signed J/ . / -�( ,i <br /> custom r <br /> Phone 337�i8� <br /> DESCRIPTION: Sewer District �3�f�fti"�1ii1K� �d�1� ���t <br /> Lot Block � <br /> Monthly Sewer Serv�YpyuiSn <br /> Plat HRTER �.75U.Op <br /> Unplatted Description Monthly Sewer Conl�p0:7066 <br /> SE1�l: 830.00 <br /> Trunk it'1]-ti ^94'.OL� — <br /> Type Permit: ppp���� <br /> Lateral iVn <br /> Fi03 �(Mt..`A <br /> Remarks: �F� �E�,�p <br /> Abutting Lot Line <br /> N� g. E, yy NECH ��.fi0 ft. <br /> GH �?�.6'7 <br /> o �r.ii :s.;�� <br /> � �:n stis.no <br /> n�M,Rn� a:o.ui <br /> Approved By 4��11l�°�•�lE1�L — <br /> ciry e�pineer <br /> IMPORTANT! <br /> Issued By 8�+ �� <br /> CALL 1�00-424•5555 48-HOURS <br /> PRIOR TO DIGGING GC�G� <br /> CALL 259�8811 FOR INSPECTION <br /> / <br /> Inspection By — <br /> Date Inspected '� ' <br /> SEE SKETCH ATTACHED / Np, 27066 <br /> IP:SP~CTICN <br />