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i <br /> CHART N0. <br /> .�Preri <br /> � �. -ro �ST��5 <br /> ,. <br /> � s-�3�9e� <br /> � <br /> � <br /> �� <br /> City of Evcrett r �� � <br /> = c ,^ <br /> l:�ti M ` . <br /> 0 <br /> Sewer Applicatior� -c�d Permit <br /> ., �i <br /> 27598 '` � ��� �� <br /> N0. DA7E A'rirct 12- ��90 <br /> $ervice Address , Utility Account No. <br /> Permit Fee 30.00 <br /> Billing Address <br /> Connection Chargels) <br /> City,State, Zip ;��y,. <br /> Owner (Mortgagor)_.�}�.�--�_ <br /> Total Fee 30.On <br /> Billing Name �1° <br /> Connection [3y 7� bar'itary ----_— <br /> $igned <br /> Address c°"O11ef <br /> Phune�— <br /> Sewer District <br /> DESCRIPTION: <br /> Lot 61ock Monthly Sewer Service <br /> Plat <br /> _ Monthly Sewer Constr. <br /> Unplatted Description.— <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W_ ft. <br /> Approved By_ �'�'�-�-� �- <br /> City Engmeer <br /> IMPORTANTI Issued By sua���u��n -- <br /> CALL 1�800�424-555li 48•HOURS <br /> PRIOR TO DI�GING <br /> CALL 259�8B11 FOR INSPECTION / ��. <br /> 6 <br /> _� I�spection By <br /> � G <br /> �Datelnspected � �� <br /> - No. 27598 <br /> SEE SKETCH ATTACHED <br /> If�SP[CTION <br /> I <br />