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I <br /> i <br /> i <br /> CHART NO. <br /> everen � i � , . _ <br /> P �� :�_ _. � , : _ <br /> . , �: . f� <br /> � �- �:. <br /> � <br /> � p <br /> C.I� oi Everett � I' :J � �� L'1 � y 3 c� � ? '_� '_ <br /> > ;d C- � � P r�j��j p � � y� � +i <br /> ' �"� �'. ! b �O M �r I, : 6 P 4 <br /> !� i A P M M M N � Y' �"1 � M v <br /> • � <br /> Se w er Application and Permit �� D � � �' ^ � <br /> � » in �- .� <br /> � �. � � � - �� � � � � �_ � o �; <br /> 265?.3 _ - 3 � � � � W � � +« .. ., � _ <br /> NO. DATE J+Au+rv =e, 1908J <br /> Service Address _ Utility Account No._ _ <br /> Billing Address_�t�, _�t��}p� Permit Fee��__ <br /> City, State, Zip Conne�tion Chargels) . <br /> Owner (Mortgagor) _ Total Fee�� <br /> Billii�g Name 6Dacial Dtility Pae Ozd. 1171-OS <br /> wtor 179.00 <br /> Connection By ( Nrer �71.00 <br /> —�B�ss--�-- `� � 650.0���� . r�l� <br /> Address ___ Signed _ { -- <br /> c��:m�, <br /> Phone <br /> I DESCRIP110N: Sewer District �.�-- <br /> Lot • Block —_ Monthly Sewer Service —.— — <br /> Pla!_ -�M•- �'--- — <br /> Unplatted Descrip?ion _ Monthly Sewe Constr. <br /> Trunk 395.00 <br /> I Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � Approved By <br /> � � � �� e� <br /> IMPORTANTI <br /> Issued By Sury Hanqan <br /> I CALL 1�BOOd24-6555 48�HOURS <br /> PRIOR TO DIGGING <br /> CALL 259A817 FOR INSPECTION �� � • <br /> -- � � � <br /> Inspection By <br /> _ Date Inspec;ted 3 <br /> SEE SKETCH ATTACHED NO. L�yL3 <br /> IPJ`;Pi_C�i IUi�J <br /> � <br /> �.. <br />