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everett CHART N0. <br /> � Y I <br /> � I <br /> City oi Everen � � g � � R <br /> '� " ^ r� � :: <br /> ... <br /> Sewer Application �nd Peri�� � ;� �� � "� p � <br /> ^ � � �� � � � : ` <br /> N0. �v327 DAT►_ _ AuQnst T�198� LL. .rt $ ` ,�—L.' � � � <br /> Service Address_-_ 1�27 - 100 � er e.. �l�g _ Utility Account No. <br /> Billing Address g� Permit Fee_ +o o� <br /> City,State, Zip Ewr�ti w ge20� Connectian Chargels) <br /> Owner (Mortgagor' _ Lhwrn� �eoa Total Fee_ +n no <br /> Billing Name sa.. <br /> Connection By <br /> Address Signed <br /> Phone a�7_��� c�,�o�� <br /> L <br /> DESCRIPTION: Sewer District_ e�.�n rrr <br /> Lot_ y�� Block _ <br /> Plat y a_=k Monthly Sewer Service <br /> -�"r' <br /> Unpla�ted Oescription Monthly Sewer Constr. <br /> Type permit: Trunk I <br /> Lateral I <br /> Remarks: I <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> ApprovedBy �c+�n_n a_ *uc�r <br /> Ciry Enpinex —' <br /> IMPORTANTI <br /> CALL 1-BOOd24�6655 48•HOURS ISSUE[� By r.rqa ♦ * �T�_� <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION <br /> Inspection By I <br /> Datelnspected � <br /> SEE SKETCH ATTACHED Np, ZG3ZT <br /> ir�cr�rr.�ior� <br />