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CHART NO.. <br /> everetl <br /> � � <br /> City oi Evecett � g g g g g <br /> � N O Y� <br /> .-r <br /> .. � � A .-. <br /> � � <br /> Sewer Applicotion an�Pie,�" i� � � <br /> � �W }g{ <br /> 263�6 � � � � w � � � � T � <br /> N0. DATE ��py�t u� ,on� <br /> Servir,e/�ddress i��7 leeeh ac_ w a;,_ s9__ Utility Account No. <br /> Billing Address e... Permit Fee �� 00 <br /> City,State, Zip �..r.te� r� eigzea Connection Chargels►_ _ <br /> Owner (Mcrtgagor►_�l.te e...1.e.. Total Fee_ �0 00 <br /> Billing Name a... <br /> Connection By � �....+. r.�..� <br /> Address �te�n �, 09 u_ r�,e..a. oan�n Signed_ �_ <br /> customer <br /> Phonn 1�y.02'� <br /> DESCRIPTION: Sewer District _ <br /> Lot �9 Block <br /> Plet �at�y satar.. Monthly Sewer Service <br /> Unplatted Description_ Monthly Sewer Constr. <br /> � T e Permit: Trunk <br /> YP Nwr t�M�atloq <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> nv �pmen <br /> IMPORTANTI <br /> Issued 8y pW�r p��qM <br /> CALL 1-BOOd24-5666 48�HOURS <br /> PRIOR TO DIGGING <br /> CALL 2Fg�8811 FOR INSPECTION <br /> Inspection By <br /> ._ _ Date Inspected <br /> SEE SKETCH ATTACHED N0. 26306 <br /> Ifd::PCC I �Oi`. <br />