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everett CHA�RT NO. ~ ' <br /> � . <br /> e G., . . . <br /> , �, . . <br /> �, r <br /> City of Evarett c.; <br /> �.; <br /> Engineering & Community Services ... <br /> Sewer Application cnd Permit �� <br /> .. <br /> �_ <br /> N0. `L 2`Z 3 8 DATE �13 l�tf <br /> Service Address��� Z /%.�r !� � /,/��.� Utility Account No. <br /> Billing Address ��� � _ ' 1�L9 Permit Fee_�_� <br /> City,SWte, Zip�.--.u�// 6Gl� �i9:t0� �nnection Ciiarge�s) ��� <br /> Owner (Martgagor) G1il,�- _.,.(� ��/'• �i- ' Total Fee_ .,c �J <br /> Billing Name`�—�. .,c — <br /> Connection By ✓'�r �c� <br /> .} <br /> Address_ � � � <br /> � <br /> Signed L_�. .,..i r7' • .�* ai ,�,,,_ <br /> Phene_ .� S� �/� /� / c�.�o��-----.� <br /> o �� . <br /> DESCRIPTION: Sewer District <br /> Lot f0•- ��� Block G S% -- <br /> Plat_ �y - .� Monthly Sewer Service____ <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit iG,�' f � Trunk _ _ _ <br /> '� /•' Lateral <br /> Remarks: ---�-- <br /> Abutting Lot Line <br /> --- N� S� E• W -----ft. <br /> � <br /> Approved QY �, � •--•r�e- <br /> � __ � ' City Enyineer —_'__"_ <br /> l� / /� -�_ <br /> �SSUC(j By '� ��r� . <br /> __ Inspection By_ <br /> 0 -- ----________ Date Inspected <br /> SEE SKETCH ATTACHED NO. 2�2 3 8 <br /> INSPECTIdIJ <br />