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CHART NO. <br /> everen ��,;s ��� j���,-�,t,� <br /> e , ; <<;� <br /> City of Evarett <br /> Sewer Application and Permit <br /> NQ ZSS1O DATE � <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, Zip Connectiorc Chargels) � <br /> Owner (Mortgagor) ef ti .w .�-i ..�L_ — Total Fee � <br /> Otility D�wlope�nt l�s Ord. 1Y72�5 <br /> Billing Name rat.�r 179.Q0 <br /> �nwr 171.00 <br /> Connection By 650t00 <br /> Address �a�ze r r,.ti ....... �-.._.. Signed� l <br /> �a�/`�lF3" 1Ia41HFi f1�f�Me."i'10 $$kt <br /> Phone 1B3 ""� � <br /> NO[IG2b810 <br /> DESCRIPTION: Sewer District o�..�....a*-3 m <br /> lot � Block QI� I 111U.00 <br /> Monthly Sewer Serv�g <br /> Plat �`�^* � *� pppp2pf,Q4 <br /> Unplatted Descriptio� Monthly Sewer Car�r� �'� <br /> Trunk �' ��� <br /> Type Permit: p� �y �{,� <br /> Lateral <br /> Remarks: E SRl:fi liS.Ufl <br /> Abutting Lot Linep�q�y 82p.00 <br /> N, S. E, W urvvnc°gi ft. <br /> Nf17Elt 36p.q0 <br /> CSfCl SIGCiS.a�`i <br /> Approved By <br /> an e�y�oeer <br /> IMPORTANT! <br /> Issued By M� ��� <br /> CALL 7$00�424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> CALL259�S11FORINSPECTION <br /> Inspection By <br /> Date Inspected �- z�'��'�--- <br /> SEE SKETCH ATTACHED Np, ZGS1O <br /> IN.SP[CTION � <br />