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ICHART N0. ��' 30 -`''`j_ S <br /> evereft H � <br /> _ _ .. . �05 1����� ;-'. <br /> � L, • r-� <br /> � r • <br /> Cky of Evxett !�. � ��� <br /> EnpineKinp di Communiq S�rvioss <br /> • • • �� <br /> Sewer Appl�cat�on and Permit . <br />; .. <br /> C 3 7� _ <br /> No. 22599 �A'�£ /�" <br /> �/i �� � <br /> Service Address S S �.�'_� �� __ Utility Account No. <br /> —/�------ O ri+� <br /> Billing Address ��3y�`��� ��`'�`�- � _ Pcrmit Fee � <br /> . <br /> � '�J� � <br /> City,State, Zip -�''^ C'` �Lf'��^ ' ��A/'1'� CO11�+"�'ie� Chargels) �_ I <br /> Ovmer �Mortgagor) ?l�� ��� �-��'``� -�' ' Totai Fee_ �� ' <br /> ' � ,y <br /> Billing Name � � '�''t"' �-��" — <br /> � <br /> Connection By -`��'"'�"'� l <br /> <. � <br /> Addre:� _. Signed ' -� ��( '^''e.�. t� <br /> . . " Cusromer <br /> Phone_ 3-�i � ;'O > � ' <br /> DESC IPT ON: Sewer District <br /> l_ot—����-C—�- Block�T-,� Monthly Sewer Service ' ^�y " � <br /> Plat ,r'.. , L� -_l:_;'a' ,� <br /> Unplatted Description Monthly Sewer Constr. <br /> � �-- Trunk ' <br /> Type Permit: /f..•-: .. r_ -, ,,� <br /> --- _ � �f / � , Lateral -- <br /> i - .�� .s �.•_>�✓ <br /> Rema�ks: Abutting Lot Line �} 'r / <br /> _ <br /> N S E W ', � ft. <br /> _ � , / . 1 <br /> I <br /> - — Approved B;�" -'� <br /> City Enpineer <br /> _—_ _ , L, . .. <br /> - - Issued By �' ' - ' ' — <br /> - Inspection B�?�E���i�,u� e�••"�"�-�,� <br /> Date I nspected ��f"z'��� _ - <br /> i `� �' ^ y <br /> SEE SKETCH ATTACHED N0. � � ,� � .� <br /> INSPECTION <br />