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�a�ea . '�.: .. <br /> '. I <br /> I <br /> c I <br />�'� <br />,ir: I <br /> w !� <br /> CHART NO. 'i <br /> evPrett I ' <br /> � `�`.�...-t�{�� C�c� �Z�t;� S- Z2-�' `i � <br /> City of E�rerett <br /> � Sewer a4�pli�;ati�sr� arad �'errnst I, <br /> ho. 27034 DATE _ Jnauarv 11. 19R9 li <br /> Service Address IIg15-�9t.#r-�o 6� Utility Account No. I <br /> Billing Address Permit Fee ��� I! <br /> City, State, Zip Connection Charqe�s)����_. <br /> O�vner (Mortgagor) Total Fee_ . <br /> Billin Name _ L'ti7.ity Ceve2opment Pee Gt�. 1I71-RS <br /> 9 g water 224.00 <br /> r,awnr 589.00 <br /> � Connection By . II13.0� <br /> Address Signed �... <br /> . C519tofneto' U.J:.I.�tHI t UI�Ft:��t �.0 . . <br /> Phone�r� ;tCtLY�(�ytc•;, <br /> DESCRIPTION: Sewer District ��k�n�d TTT'O��'�� <br /> ;�tNi�iL��:tiw <br /> Lot �� Biock Monthly Sewer Servi�eE''� $'��^�� <br /> Plat—i;«-u��:-QS �:i�i��l l l :.;i0.ilt1 <br /> Unplatted Description Monthly Sewer Con$t�':a-�' '`h�"•�V` <br /> i-liUO=l:�U:i <br /> Trunk t%f!��� "``i�3o��'n <br /> Type Permit: 3ew Connection <br /> 1'i_I:G ",:`.;.i�J <br /> Lateral ri[i;�! a.,;i.!)0 <br /> 1'Lh! Cil :17.5�i <br /> Remarks �: �;p�,�� q.;,;n <br /> Abutting Lot Line . �,„ <br /> F u.CH #•7`i.lyl <br /> N, S, E, W.'. ft. <br /> . _.,.� <br /> tiicJ:i: - . ; 'i.5, <br /> - Approved By u.uarD s± �rrtun <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By su=•;!iastgRn <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-5611 FOR INSPECTION ��. � /, <br /> Inspection By <br /> _ Date Inspected �/ �/ <br /> SEE SKETCH ATTACH[D Np, G�v�`� <br /> li�'. , ._.;1�!;,�;�.' i <br />