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CHART NO. <br />everett <br />e <br />City of Everstt <br />Sewer Appl'Kation and Permit <br />NO. L�`�OL DA1'c �+wr�t 31 19l9 � <br />Service Address Utility Account No. <br />Billi�g Address_—��*y��y��� <br />City, Swte, Zip <br />Owner IMortgegor) <br />Billing Name <br />Connection By <br />SENT -l�� <br />Permit Fee ��•� <br />Connection Chargels) �10 � <br />Total Fee �0•� <br />vcii�c7 Drr+lo/w� s« osa. u71-ts <br />Mtc 22�.00 <br />�r Slf.00 <br />su.00 <br />. �. <br />Address ' Signed � � ! <br />/ ' <br />Phone � <br />6E{�k R'�0� in <br />Sewer District�� -- , <br />DESCRIPTI ON: �171-5 IA13.p0 <br />Lot �� B��k Monthly Sewer Serv <br />Plat TER sbfi.oD <br />Unplatted Description Monthly Sewer Con�� <br />Trunk � �� <br />Typs Permit: � �,sp <br />Lateral <br />Remarks: E SR(:FI s15.00 <br />Abutting Lot Line p� ��,!�g <br />N S, E W ft. <br />IMPORTANTI <br />CALL 1�00�424�6555 48-HOURS <br />PRIOR TO DI(iGING <br />CALL 269�8871 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Approved By �'� �- �L <br />Ciry Enpinew <br />Issued By s� _�� <br />Inspection By , � <br />Date Inspected � /1/�� <br />�� 27302 <br />INSP6CTION <br />