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I <br /> everett <br /> CHART NO. <br /> � <br /> City of Evemtt <br /> Sewer Application ond Permit <br /> No. 27054 DATE __ Jam�u. ] 19t9 <br /> Service Address ���� Utility Account No. <br /> Billing Address_ 8+� Permit Fee <br /> City, State, Zip_ ��tt, IUl 9l20� Connection Charqe�s) <br /> I Owner (Mortgagor) Na O'iram Total Fee <br /> — �4,aB <br /> Billing Name s� <br /> Connection By <br /> Address Signed <br /> cusromer - <br /> Phone <br /> DESCRIPTION: Sewer District �oud ifi I <br /> Lot �� Block <br /> Plat Monthly Sewer Sery' • r� <br /> �rk . <br /> Unplatted Description Monthly Sewer Con�pyyp��d7� <br /> CI.kG 9;'S.Q1 <br /> Type Permit: � ����il� �� Trunk u��2��p — I <br /> �'l.l�i i 10.D) <br /> Lateral u��y�u�� <br /> Remarks: UA�[p q6p,f�p <br /> Abutting Lot LineHOtk1071A� <br /> N, g, E, yy1�F'T.;til £l0.f11 ft. <br /> tukJi I�'/tc,c <br /> ',EW:R llll.flfl <br /> 1.18iC1; i11S.00 <br /> Approved 8y 1►LP1R.'D R. 'P�11L <br /> Ci1Y Enpinen <br /> IMPORTANTI <br /> CALL 1SOOd24-565548-HOURS Issued By �I11'4�!'�! E. MOUOd <br /> PRIOR TO DIGGING I <br /> CALL 269ARf1 FOq IN.PECTION � <br /> �Inspection By <br /> Date Inspected _ I <br /> SEE SKETCH ATTACHED Np, ZTOSY <br /> I�. �''CC�� ��)�, � <br />