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e�reeet't <br /> � .-'/ `' � <br /> '�� - ?J_ ?�j- S ; /���.,� a1/y/7�1� S <br /> City�of� Ev2rett �/ <br /> Engineering Uepartment <br /> Sewer Application and Pernnit 3 ;�� 1 � <br /> , _ <br /> N0. COH� G,:� t��l._ DATE '. ' ' <br /> _.. -- -- __ . _ . <br /> Service Address ` `��'��""�' �= ' �"'�f'�`� Utility Account No. <br /> Billing Address Y �_ - Connection Permit Fee <br /> . . <br /> , . y , ,.; _---- <br /> City, State, Zip :;Ct�` -' �4'�•-'� � � ' ConnectionFee <br /> Owner (Mortgagor) "�r<<✓1-�� � %>�J,% � _ - Total Fce ��'� ' � r r , <br /> i .�_�� i��.;-��1 <br /> Billi�g Name '� `' � � ,� <br /> Connection By � �� � ',"� <br /> �`/,"7 <br /> Address � Signed <br /> cuctomer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot_ Monthly Sewer Service - <br /> Block " <br /> Division or Addition % T - _ Monthly Sewer Constr. <br /> Trunk - <br /> Type Permit: ;� ; <br /> Lateral _.__.---- <br /> Remarks: Abutting Lot Line <br /> N, g, E, y�l .. ---- ft. <br /> � : <br /> i <br /> APProved 8y .__ j-/!'� ,j'��- <br /> Citv Enpineer <br /> N 1 � � <br /> � � Issued By �� � '���� <br /> 'j . , . . ; � ; r . . <br /> -I--" <br /> , �.� . cO '/' tr <br /> �l r� IL '~� �j � � •. 1:. i �' �"�(i,. :•�% . rII". <br /> � -- lnspection By �'y/��-' F� <br /> � ,. <br /> . a r 7 � ,i.'�—i� �" <br /> iDatelnspected - - "'— <br /> � SEE SKETCH ATTACHED No• 2 0 8 6 6 <br /> .. ....�,r,.. �.,,,.., , <br />