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CHART N0. <br /> everett <br /> � Sc,✓TTaC/�fY'ri�lP- /2 -2/-8 � . <br /> City of Everatt <br /> Sewer Application and Permit <br /> No. 25568 DATE J��/1� <br /> Serv�ce Addres���� � �� �1�����tility Account No. <br /> Billing Addres��?.���/G Permit Fee �� <br /> City,State, ZipL-����/1��� � Connection Chargels) <br /> Owner (Mortgagor) Total Fee <br /> Billing Name � � <br /> .;� iI <br /> Co�nection By����� �— I '1 �,, ..t � �' " ,-- <br /> , , . � ,�'� ''j'j `' �� <br /> Address . _ ._ , . .1 '- Signed � , ' ,. . <br /> cu:romer � <br /> Phone " % <br /> DESCflIPTION: Sewer District — <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description '�^ �' '// '' � � � � ' Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: �.^ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City En9ineer <br /> IMPORTANTI ' i <br /> Issued By � l' ' / ; � _. ; <br /> CALL 1-600�424•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-l38N FOR INSPECTION /���— . . <br /> Inspection By � <br /> Datelnspected s'r'� � <br /> � <br /> SEE SKETCH ATTACHED No. 25568 ? <br /> i <br /> I�SPCCTION <br />