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evereM CHART N0. <br /> e � � � �a�, n �,: <br /> City of Ev�rett I'� " I <br /> � � ' � <br /> Sewer Application and Permit <br /> N0. 24118 DATE 11/2�/�l <br /> 1613 ■�k�s <br /> Service Address ._ _ Utility Account No. <br /> Billing Address Permit Fee Neq� <br /> City,State, 2ip Connection Charge�s) <br /> Owner (Martgapor) Total Fee *��� <br /> - � <br /> Billinp Name <br /> cscr •: s••:•cc <br /> Connectfon By <br /> De� Mi�l�r <br /> Address Signed <br /> cu,tortwr <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Manthly Sewer Constr. <br />' Trunk <br /> iType Permlt: It�p�ir <br /> Lateral <br /> RBrt18fkS: � .t.-r��� :=���� �.. �� d- <br /> � S•5 /u ���w S. � ,c..f. 3 ' ilrr Abutting Lot Line <br /> N, S, E, W ft. <br /> J�/ 7 /l/, . /� . i �.o /J — <br /> Approved By A' R. SA�al <br /> c��v e�o��ea <br /> !. �oaA <br /> Issued By <br /> — � <br /> � � `�- J 7�/--- <br /> Inspection By_7r �/� //rt � : � A `� <br /> Oate I nspected /�- ��� ' �� <br /> SEE SKETCH ATTACHED NO. 2411�7 <br /> INSPECTION <br /> 1_ ..._ � <br />� <br />