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CHART Np. <br /> everett <br /> e <br /> City of Evarm �_ �' �O ��r-r��J- <br /> - �o/S/8� <br /> 5ewer Application and Pemnit <br /> N0. LS��� DATE ��� =1, 1f�6 <br /> '►�10 Tlab�: Itill Drlw <br /> $arvice Add�..._ Utility Account No. <br /> lU7 Ytl Det�e IO.Op <br /> Billing Address Permit Fee _ <br /> 1Mtilbo. Ik. 9�Y7S �nnection Chargels). �'� <br /> City,State, Z.ip <br /> Owner (Mortgagor) <br /> Cbr�u Molb} Total Fee_�0.00 <br /> oras,.so. un-es <br /> Billing Name �� � �= t,1�0.Oc1 <br /> Connection By_ <br /> <-�i�,. . <br /> Address Signed i - • � c,�m �/ <br /> Phone ��17 <br /> DESCRIPTION: Sewer District �°d II <br /> Lot 2 B��k Monthly Sewer Service �b� — <br /> Plet e 1R-� <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk s�'� <br /> Typn Permit: If/C uA 1►It�n!!ow <br /> Lateral �_�•� <br /> Remarks: Abutting Lot Li <br /> N S, ��� � ft. <br /> Approved By �' R' � <br /> � Ciry Enqineer <br /> IMPORTANT! Issued By E. Bond <br /> CALL 1-BOOd24•5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8811 FOR INSPECTION n_ _ / <br /> Inspectinn By— <br /> (��t,/ � <br /> Date Inspected ''� �7— <br /> SEE SKETCH ATTACHED No. 25467 <br /> I�!SPECTI Of4 <br />