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i <br /> CHART N0. <br /> Ieveretl <br /> e �_ �_ . <br /> .�.r �` C/,i,. �,,;.� // / `!. <br /> C�ty oi E�rerett <br /> Sewer Application and Permit ��:;-������ �:��w ��p��,�>>" ��� t <br /> � <br /> Nqilllb9111 <br /> ZS79H DATE � ���•''� <br /> Pi 0. �,.�- <br /> I�ql i,^.f3.C�1 <br /> Service Address_;�A lp9th SL SE Utility Account No. H �xrN st_�.n _ <br /> F ����L'H s15.00 <br /> Billing Address ��+�.,,r._.�+��T�9„ Permit Fee��'►1d1'�n-�Y� _ <br /> IN;1 wx.^,i�44 <br /> a �� eu Connection Charge(s) 5g�q�n,o,n,_.�;u.�■� <br /> City. State, Zip ��,,,, - eu <br /> UN�111 � ��i.iuJ <br /> Owner !Morcgagor) Total Fee__�}�p.;��'"+� �r� _ --- <br /> Ord. 1171-a5 HatifiNir���t#9.00 <br /> eilling Name �o SNN�N�' 471i9f1IM1 <br /> 1:18-f�; ��'i(I <br /> Connection By — , <br /> Address S i gned <br /> Cmtamer i <br /> Phone_�„g4 I <br /> DESCRIPTION: Sewer District_�n-,-�_�;]__ <br /> Lot�— Block Monthly Sewer Seivice_ — - I <br /> Plat ��p„ <br /> Unplatted Description __ Monthly Sewer Constr. � <br /> Trunk 33e.�0 _ il <br /> Typa Permit: � p <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, g, E, yy ft. <br /> -- Approved By — <br /> v <br /> IMPORTANTI <br /> Issued By a�� <br /> CALL 1A00-024�555548�HOURS <br /> PRIOR TO DIGGING <br /> CALL 259A811 FOR INSPECTION ' <br /> Inspection By � — <br /> _ Date Inspected �"J� 5 /� <br /> SEE SKETCH ATTACHED Np, ,'J798 <br /> II '. I'i (: i I� ;,, <br /> I <br /> � <br /> � <br />