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CHART NO. <br /> evereft <br /> e �= <br /> City oi Everott � p� S 3 a � <br /> :� <br /> � =: � � v' <br /> � <br /> « r .» w �. <br /> Sewer Application v.'7�� �� � r <br /> � � � ��� - � x <br /> �, �. �s � � � � � � <br /> NO. ZG / 9� DATE _ ��st �S. 196i <br /> Service Address�ypp��� � ��RZ Utility Account No. <br /> Billing Address �= ��': -�� �>V� Permit Fee_ 10 �0 <br /> ,i. ;I � i. � ii,. � �_ — <br /> City, State, 2ip ���� � �,� � ��'��j Connection Chargels) <br /> Owner !Mortgagor) J� .,..�.�_ Total Fee _ � so <br /> Billing Name_ ..r <br /> Connection By <br /> Address Signed � <br /> cnstomer <br /> Phone <br /> DESCRIPTION: Sewer District y�� ___ <br /> Lot 1s1 Block <br /> Plet Monthly Sewer Snrvice _ <br /> �Juil7salrr fark <br /> Unplatted Description Monthly Sewer Canstr. <br /> Type Permit: � Trunk <br /> r�bf3�Y�w <br /> Lateral <br /> Remerks: <br /> Abutting Lot Line I <br /> N, S, E, W ft. <br /> � <br /> Approved By I <br /> c��v �y�oeer I <br /> Ih''PORTANTI <br /> Issued By�_ �i�ed i <br /> CALL 1�800d24�655548-HOURS <br /> PRIOR TO DIGGING <br /> CALL 269�8811 FOR INSPECTION i <br /> Inspection By i <br /> Date Inspected j <br /> SEE SKETCH ATTACHED No. 26799 � <br /> IfJ`�PCC-iiUN � <br /> I <br />