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everett <br />City of Evarett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. 21823 DATE <br />CHART NO.T�— <br />c: <br />M <br />L " t <br />t , <br />Service Address Utility Account No. <br />Billing Address 9 Zl u -Eyt:Qz LICI-tX� U (-U l `-' Permit Fee <br />City,S:ate,�ipt- Lt=fct�TT �� ZC?� Connection Charge(s) <br />Ovntar ;iv:!•rtg:ra[;j �J C�_c"'r.Ur..�c^%L Q71LG r Total Fee f� <br />Billing Name_ <br />Connection By <br />Address <br />phnno �� + " /� 0. t_) <br />DESCRIPTION: <br />Lot Block = <br />Plat. , 't <br />Unplatted Description _, _ <br />SEE SKETCH ATTACHED <br />Signed <br />Customer <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued <br />Inspection <br />Date Inspected <br />NO. . <br />— — - — — INSPECTION <br />