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evereH <br />� <br />City of Everott <br />��J �, / <br />�• <br />/% 7 r" ' t <br />/2•2,� -79 <br />/"�i, > ;'��,, <br />Sewer Application ond Permit <br />No. 23364 DATE �//� /7 � <br />$@NICC <br />Billing <br />City, S' <br />Owner <br />Billing <br />Connec <br />Address_ _ <br />Phone_��3'� �%7�5 3 <br />CHART N0. S b' ZS�S <br />� �s �� <br />� � 3'�° <br />7'" <br />��"�r"P�y Account No. � /'.�ot� <br />Q <br />Permit Fee ���� <br />Cnnnection Chargels) '��� <br />. <br />Total Fee 30 � <br />f , . <br />Signed - - � - <br />cu:tomer <br />DESCRIPTION� Sewer District .�� ,� <br />Lot � B�oc�C Monthly Sewer Service�� <br />Platr_.S�• ,!.?o�— .: -�9_ <br />Unplat:zci Description Monthly Sewer Constr. <br />Trunk C% • a� ��rQ— <br />SEE SKETCH ATTACHED <br />li ISPECTION <br />�,, � <br />Lateral_�2 • 'LD ��_ <br />Abutting Lot e <br />N, S, �— ft. <br />r <br />Approved By • �/ � � <br />Ciry E�B�^eer <br />Issued <br />I,ispection By 1���' �l �-.. � vf �\ — <br />. .l..i <br />Date I nspected {� % "' �-: `.� : J �—. <br />rvo. 23364 <br />