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CHf RT N0. <br /> everett <br /> e <br /> ctri ot e�eren <br /> � ' <br /> Sewer Application and Permi� <br /> No. 26295 DATE �uan�t 5, 1987 � <br /> Service Address 3��� - 100N� 6� 6M J�O Utility Account No. _ lil <br /> Billin� Address�;,r Permit Fee_. <br /> �A�99 <br /> City, State, Zip f �,�p�i, 1� 9��01 Connection Chargels) ( <br /> � �_ i <br /> Owner (Mortgagor) � ����y� Total Fee }A�� I <br /> Billing Name ��� <br /> Connection By <br /> Address �'�ned <br /> cua�omer <br /> Phone__ <br /> DESCRIPTION: Sewe� District �d II� <br /> Lot �o Block <br /> Monthly Sewer Service_.. <br /> Plat �-...,�� :.•':y .....,,_ �.-�._zk <br /> Unplatted Description Monthly Sewer Constr. <br /> , Typa Pe•mit: Trunk <br /> _ Nw Cbnirction lbbil• tto�s <br /> Lateral <br /> Remarks: <br /> Abut[ing Lot Line <br /> N S E y(�f1/US/U7 1b:�7W11100NItMi6 �{xi <br /> uuuoo-r.�t <br /> r.►r:c s.�.ai <br /> I�!w�i:etiv'i <br /> Approved By ��h' f 10.U0 <br /> IMPORTANTI ���•��'�(�}�7q '10.[IO <br /> CALL 1�BOOd24-656648-HOURS hsued By_��Y }' .NcIaed <br /> PRIOR TO DIGOIN6 IN11�5?1 i <br /> INITFR f6l1.IM1 <br /> CALL 2698811 FOR INSPECTION ��:� ���,� � <br /> Inspection By <br /> � <br /> Date Inspected <br /> ,EE SKETCH ATTACHED NO. 26Z�5 <br /> INGf'[:CTIOiJ � <br /> i <br /> I <br />