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everen <br />e <br />City of Everott <br />CHART <br />�p�ic�s SE�� %n <br />.�F�� �'c'. �'//.4,CTi�/G' <br />/-1-8E• <br />Sewer Application and Permit <br />NO. 2518p DATE _ Jalq 22. 1985 � <br />Service Address 207 9tth St�t a. _ Utility Account No. <br />Billing Address��29 ere.a.�.y <br />City, State, Zip_ �mtr Ka. 48t01 <br />Owner (Mortgagor) ��o d�u Aultv lnc. <br />Billing Name <br />Connection By <br />�sa-ii� <br />DESCRIPTION: <br />Lot �0 Block <br />Plat �s�9� Dl�. II <br />Unplatted Description <br />Permit Fee 30.00 <br />Connection Charge�s) �30.00 <br />Total Fec 30.00 <br />Signed <br />SEESKETCH ATTACHED <br />INSPECTION <br />Sewer District �� III <br />Monthly Sewer Service 6.50 tI� <br />Monthly Sewer Constr. <br />�30.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By_ E.R. Thea1 <br />Ciry Enpmeer <br />Issued Bv R� � <br />� . � / � � 1�Yr <br />� � <br />i . � � � ,.:r�i`'� : i ' ✓ <br />• <br />