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CHART NO.Q Z4 29-5 <br />everen <br />16e <br />City of Everett <br />Sewer Application and Permit :�;- 29 -c8d <br />NO. 23447 DATE January 9, 19f0 <br />Service Address 3901 filth Strwt Utility Account No._ <br />Billing Address P.O. Boz 1947 Permit Fee 10.00 <br />City, State, Zip LVerett, Wis. 900% Connection Charge(s)- <br />Owner (Mortgagor) Danard custom Hors Total Fee 10.00 <br />Billing Name saw <br />Connection By sane <br />Phone 259-1001 <br />DESCRIPTION: <br />Lot N 50' of Block 32 <br />Plat Kent 120' J.S. Sines Acre <br />Unplatted Description <br />Type Permit: alteration <br />SEE SKETCH ATTACHED <br />j <br />Signed <br />Cus�amcr <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />It. Warren <br />Approved By <br />Goy Engmee, <br />S. Bond <br />Issued By <br />Inspection <br />Date Insne <br />No. 23447 <br />