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CHART NQ. <br /> everett �y,,��� �<<�-y� 7- iS �;B <br /> e u <br /> � <br /> . <br /> Gity ci �verett — ? � :5 `�t' S � � S '^' �� ��' •� I <br /> ',R � c� r�, ,: ;Jc o .^� .Y � : i_ <br /> � f M M K � � <br /> � V µ » h r �� <br /> Sew�r Application �nd�,�rmit .. �, � <br /> T�C � y �. J c. t <br /> � � � ` = t � � W � � <br /> �' `n 4S Bf2 �` '' � � f� <br /> 26536 �� � � � � :� W � � � a � a � � � _. <br /> N� DATE Fi�zwry 16 1980 <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee �•� <br /> City,State, Zip <br /> Connection Chargels) 600.00 <br /> Owner (Mortgagor�_ �-* <br /> Total Fee ]0.00 <br /> B�cial tJtllity f�e Ozd. 1171-P.S <br /> Billing Name rGar ZZd.00 <br /> eever 589.00 <br /> Connectio� By �--� 813.00 <br /> � ` <br /> . � <br /> Address Signed — <br /> Custortw� <br /> Phone <br /> pESCRIPTION: <br /> Sewer District �a = <br /> lot_ 5 Block Monthly Sewer Service <br /> Plat w� �•• ` - <br /> Unplatted Description _Monthly Sewer Constr. <br /> Trunk 1l0 00 <br /> Type Permit: k� p,�tion Lateral 490.00 <br /> Remarks: Abutting Lot Line <br /> N, S, E, �Y_ ft. <br /> i . <br /> I —_ ApProved By AIPRP.D R '!7lS7�L <br /> Ciry Engineer <br /> IMPORTANT! Issued By �y»Q�a <br /> i CALL t$00�424•5555 48�HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION ��f�' � /� <br /> In�pection By�� <br /> Datelnspected G ���'� <br /> SEE SKE7CH ATTACFiEO <br /> r�o. 26536 <br /> li!i Pi=i;I !CF! <br /> � <br />