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� � `'' <br /> C�', � � <br /> H <br /> TH �n <br /> 4 xa <br /> yzH <br /> FC C7 <br /> p x p CHART N0 <br /> '�JHM <br /> �'H everett ' <br /> � o� � <br /> oHe r �� <br /> HC��1� � = I <br /> 4]� C'] � _ ' _ ' I <br /> z y� I Ci±y of Evere:t - - - ' I <br /> z TO POSTING_ ! -z v 43 _ <br /> g d � � e�n o e r �! licai�ion ar�d Perrnit`1 <br /> S pp , <br /> � � � � � -- = _ <br /> HOf�/� No. 27497 DATE F�'.iTlldL1� 1?� 1`1`.'i0 <br /> I 990U 12r.h Avc: «. �ldy.2 Utility Account iVo. I� <br /> Service Address - I <br /> Billing Address 11.'20 '•�S' 3th St � ��� Permit Fee 'i0 0�� I <br /> �ellevue, :IA 98J0:� Connection Charaelsl �Qllecto3 cn t^79�`.'i j <br /> Ciry, State, Zip - <br /> Owrer iMo�tgagor)�%a.luen Poiicz Ec,uitiLs _ Total Fee 3`?•`�'� ' <br /> i j <br /> I <br /> Billing Name '��' ' <br /> Connection By � �ur1a+..i Cunst. _ <br /> i <br /> ?�� Address .�a�r.= _ Signed c�:,o��e� � <br /> ��� Phone 4S�-'_io5�� � <br /> ' �j DESCRIPTIUN: Sewer District� ^o�<i IIT <br /> '_' � Lot Block_ Monthly Sewer Service — II <br /> I Plat <br /> ��' Monthly Sewer Constr. � <br /> � Unplatted Description i <br /> ' ' i <br /> � Trunk I <br /> v Type Permit: ,{ew Cot:n�ction �; <br /> ' Lateral , <br /> ..' Remarks: Abutting Lot Line �I <br /> N S E W ft. j <br /> ' li <br /> f � - � <br /> � APProved By_��rP1:G F. T'i;:i\T_. '; <br /> ' I C�ty Engineer II <br /> IIMPORTANT! Issued By �L��" '�a;ic��n _ <br /> i <br /> � CALL 5�800�42A�5555 48�HOURS I <br /> '�I PRIOR TO DIGGING � <br /> � CALL 259-8811 FOR INSPECTION � " I, � <br /> � 1�G� 6 - . � � <br /> �� Inspection By�r---- � <br /> iDate Inspected_���'�`f� <br /> ! SEE SKETCH ATTACHED N°. 27�g7 I <br /> i <br /> j IP!�i i:�;��10i�1 �, <br /> i <br /> ii <br />