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ev�ett CHART NO. <br /> e � <br /> � <br /> SENr ro [siA�r„v� <br /> 3-.� -8 � <br /> City of Everatt � g g � <br /> r. � � S <br /> n� j0 ,;: ;w ' <br /> Sewer Application ar�d Perrr�k � K ` ;, , <br /> � � � � � . <br /> No. 25983 DATE <br /> Service Addrzs_�4�4 silwr r�. we.e Utility Account No. <br /> Billing Address g+r Permit Fee 30.00 <br /> City,State, 2ip ar..r.rc, �u seaet Connection Charge�s► �)0.00 <br /> Owner (Alortgagor) n.�.r n.rs.■ Total Fee 30.00 <br /> BillingName ..�. sp.atai ucuitr re., ord. 1171-85� i100.00 <br /> Connection By �a�...� n.+».�. x,.r.,�,.� _ <br /> Address Signed <br /> Cuslomer <br /> Phone �+.�_»no �p��� <br /> DESCRIf'TION: Sewer Distric� eeod 2II <br /> Lot Block <br /> Plat Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Typa Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot �ine <br /> N, S, E, V° ft. <br /> Approved By 7fLTRt9 R. Tf�1L <br /> City Enpinem <br /> IMPORTANT! <br /> CALL 1�OOd24355548•HUURS Issued By Mara_a_z�[ 8. M�i.� <br /> PRIOR TO DIGGING <br /> CALL 259�811 FOR INSPECTION <br /> . <br /> Inspection By <br /> Date Inspected_ / Z`� �G <br /> SEE SKETCH ATTACHED No. 25983 <br /> INSPGCTION <br />