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i <br /> ; <br /> I <br /> CHART NU. <br /> everett <br /> ��,� .�> Cl���,t.:�, 9�u �q a <br /> � <br /> City oi Lverett <br /> i <br /> �ewer A�pplication and Permit <br /> No. 261i23 DATE �=il le, lsee <br /> Service Address loll lloth rl_ sa Utility Account No._ <br /> Billing Address. 17371 � 67 ►+�_ Permit Fee�g,gg_ <br /> i <br /> City, State, Zip sa��� ww 9eot� Connection Charge�s��� <br /> Owner (Mortgagor) a�a[ par.qu�po�•� Total Fee �p,..o�_ � <br /> BpacL1 Utilitq Tea OrC. 1171-85 <br /> Billing Name � �tar 179.00 �i <br /> � �ewr �7L00 � <br /> Connection By �.. 650.00 j <br /> -- � <br /> Address s.�. Signed � <br /> � <br /> custome. I <br /> Phone_1i85-]900 -- <br /> DESCFiIPTION: Sewer District �d III <br /> Lot la Block <br /> Monthly Sewer Service <br /> Plat Lreon P�rk <br /> IUnplatted Description Monthly Sewer Constr. � <br /> I ----- -- Trunk 330.00 � <br /> Typa Permit: W� „��..� <br /> Lateral u•i,� �f �1:: ^e�,f�tt fKN��'i';uj'.�.� 1 i : : <br /> R emarks: 7nJ�7��na''i <br /> I — Abutting Lot Line ,rblFP i.U.lhl <br /> N, g, E, W+Ht+-H��`t7ft�—ft. I <br /> i171 '� t�'d1.W I <br /> �EIIIYII�'�il_ �. � <br /> Iq:lll�• t�'ll.lel <br /> y��� I <br /> �— Approved By ��N7C�Z ���LRZD R. TIiF.I�L <br /> —T � �Enpmeel �.�•T��— � <br /> PLl1i R'aS.INI � <br /> IMPORTANTI ,, ;�, <br /> Issued By_�,�+�'.r,.M�_ <br /> CALL 1A00-024-5555 48�HOURS ' <br /> PRIORTOUIGGING � �'�� '� �1�''�tl� �' <br /> l�F'.1d1 ' . II.�Ml <br /> CALL 259�8811 FOR INSPECTION ylll �.� ' � <br /> Inspection By / � ��=-� I <br /> ' — -- -- -- � <br /> I --_ _. Date Inspected� ��p I <br /> SEE SKETCH ATTACHED ND' 2661� �I <br /> ' I;" 'I ('.11;if•i <br /> I <br />