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CHART N0. <br /> i everetl <br /> ���f i��> �-��;.T �r.� .•� <br /> I � ; ZZ'/�O <br /> City o( Everott <br /> I Sewer Application and Permit <br /> No. 26655 DATE J�ltZ M�T �. 19s9 <br /> IService Address �e �M+►� �t ii Utility Account No. <br /> � Billing Address +�e �N+►� o� it Permit Fee �0 00 <br /> Conn�atlm iM� tar vhol� <br /> City, State, Zip��., YY�04 Connection Charge�s) <br /> Owner (Mortgagor) ,wQ,��,�,��hs�— Total Fee <br /> Osdlnand llTl-AS, <br /> Billing Name � wt�r 152.00 <br /> �wr �00.00 <br /> Cannection By_���-d+– SS2.00 <br /> 98290 $�gned <br /> . Address +�+�+� 3p� /wehwtN� "�" <br /> Customer <br /> Phone S6B–�17S <br /> DESCRiPTION: Sewer District �a =II <br /> Lot 81ock �r�,l��. :ii it�..Tni � ���b� i � , fit : <br /> Monthly Sewer Service_ – <br /> Plet_ I,1 Nxl�"i a,-, <br /> Unplatted Description Monthly Sewer Cor��,�, q,c�{�,•a•: <br /> I' 'iy II 1 �.'+' <br /> — Trunk �,.�_N. ,�� <br /> Typa Permit: � ��A�C'M thnr).-at;, <br /> Lateral ,y,µ �*��+�� <br /> Remarks: ���� �� � � � ���� <br /> Abutting Lot Lin:+�nK�uY,�.;, <br /> N, S, E, W},�illu t�u-in� ft. <br /> fl�Uxu751!`x• <br /> IAULI' `.;,u.�"� <br /> ..�uw,r.,. �� <br /> �����I i :�ai,�ai <br /> — Approved By. � � L <br /> 9 Y.•� . <br /> IMPORTANTI "° � ' : '�iif.ia� <br /> Issued By <br /> CALL 1�BOOA24-5653 48-HOURS ,/ <br /> PRIOR TO DIGGING �D l h }P� •' •`•. <br /> CALL269A811 FOR INSPECTION �. �� "•( %^ <br /> Inspection By �� �• <br /> _ Date I nspw�ted <br /> SEE SKETCH ATTACHED Np. Z66�JJ <br /> li�.�:�f'Ci';ll0i: <br />