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everett <br />� <br />City oi Evarott <br />Sewer Appl�cation cnd Permit <br />No. 25456 DATE �'• u� 19s6 <br />Service Address_ �19 9�Lh Plaa� t.E. <br />Billing Address � 14]f Ero�$rq <br />City, State, Zip �^�tt, Na. s8241 _ <br />Owner (MortgagorL �n �alh <br />Billing Neme �� �1� _ �_ <br />Cennection By J+ D enllA�ts <br />Address <br />257-1166 <br />DESCRIPTION: <br />Lot _ 9 81ock __ <br />Plat wea�11 Na.nr <br />Unplatted Descriptior,_ _ <br />Typa Permit: <br />Remerks: <br />IMPORTANTI <br />CALL 1�800�424�6668 48�HOURS <br />PRIOR 70 DIGGINO <br />CALL 269A811 FOR INSPECTION <br />SEE SKE'iCH ATTACHED <br />I CHART N0. _ <br />F-✓T Tu r,p92ri,✓G � <br />s /i�BH <br />Utility A�cOuni No.__. <br />Permit Fee �•� <br />Connection Chargelsl__ <br />Tot�l Fee 30'a <br />oreleano. 1171-es <br />M�G[ 179.00 <br />Swrr �71.00 <br />650.00 <br />Signed__ _ _ <br />cu:�ume� <br />Sewer District_ � III _ __ _ <br />Monttily Sewer Service 6.50 <br />Monthly Sewer Constr. <br />Trunk ��'� <br />A6utting Lot Line <br />N.S,E,W <br />Approved By �• R. Th�sl <br />cnv Eop� +,— <br />Issued Bv t• �_ <br />Inspection By�X <br />Date I nspected___ <br />If�'SPGCTIO�V <br />Na. 2545�6 <br />