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CHART NO. <br /> � everett <br /> � FEB 2 8 1991 <br /> �'Q POSTING <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. Z�O24 DATE w...*.. �0, iowa <br /> Service Address �u mt"t�� °r �Q•B Utility Account No. <br /> 125i1 0►* ��_ � Permit Fee an � ��+ �'�,�-�..�F�F14 BBF1f1tIiG"=�*"kk <br /> Billing Address � <br /> Connection Charge(s) ' " ' ^ ���°�� — <br /> City.State, Zip ���• �Ta - - <br /> FLDIi S7.^_O.lH7 <br /> Owner (Mortgagor) <br /> Total Fee �.=-��� • .' <br /> Otility Deve2o���e Oia:�171-85 <br /> BillingName wter 1�� ���'� <br /> aaaer �s���`r<i <br /> Connection By 4 _ .�00 314`;B.'.i� <br /> PLII CH f.'�ti1..i� <br /> $igned ' <br /> Address �°E�� 310.LK� <br /> Phone ��'�`1'�'� <br /> 61.1� t14o5.5D <br /> DESCRIPTION: Sewer District ,4 <br /> lot Block Monthly Sewer Serv�c��'H ¢ �:� <br /> Plat "�0.-"S <br /> Unpiatted Description Monthly Sewer Con�. ��0.� <br /> Trunk 1171-5 31672.Q0 <br /> . . <br /> Type Permit: ���-�; g}p,� <br /> Lateral <br /> � Remarks: 1171� #459H.(i0 <br /> Abutting Lot Liuehppp;7tL?4 <br /> N S E W . _ ft. <br /> 1171-5 4h55'O.Q�I <br /> i{00006158 � <br /> NarEr. st2cu�.w <br /> �K;c�ts� <br /> Approved By jD--Al�.�?�.t�---- <br /> :, f�] "v�"r'i°' <br /> IMPORTANT! DPT.::1i 'FRS.W <br /> Issued By <br /> CALL1�800-424-555548•HOURS FUIhISP '117��.`•�(1 <br /> PRIOR TO DIGGING UI''i.'�'D �i:14 '. <br /> CALL 259ES'1� FOR INSPECTION L'11k ' 32b <br /> Inspection By <br /> Date I nspected � � " � <br /> SEE SKETCH ATTACHED <br /> No. 2?024 <br /> INSPCCTION <br />