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eVp►Ch <br />e <br />City of ENerett <br />CHART <br />� �s=i � SF.✓T �o CH,P/'�„r'G <br />c[ _. cJ _ ,a r <br />Sewer Application and Perr�it <br />No. 25404 DATE �e�� <br />Service Address 10517 �th 7lvrnw S.E. Utility Account No. <br />Billing Address 17016 15tL Awnn� N.E, permit Fee 30.00 <br />City, State, Zip ��ttla, Ma. 98155 <br />Owner �Mortgagor�. �CO' �O��tl�PA <br />Billing <br />Connection <br />Phone <br />]63-0]16 <br />330.00 <br />Connection Charge�s) <br />Total Fee 30.00 <br />Otdin�nc� 1171-85 <br />Nabz 179,00 <br />Srwz 471.00 <br />650.00 <br />Signed f <br />Customer <br />i <br />DESCRIPTION: Sewer District__ �� I=I <br />Lot 16 _ Block <br />Plat �� �n° Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />Nw Cbutisctlen <br />IMPORTANT! <br />CALL 1-800-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By �' R' �°al <br />Ciry Engineer <br />Issued Bv �' �a <br />Inspection By <br />Date l nspected�� � <br />No. 25404 <br />Ii�EPi_CTIOiti' <br />