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CHART NO.�'L-���'�— i <br /> evereYt ' <br /> � <br /> �1 .� -�: _ � <br /> ��._�; ; <br /> /f7�78' ! <br /> o� � <br /> City of Eu� ett �. � <br /> Engineering & Community Services ' <br /> i <br /> Sewer a4ppfication and Permifi ' <br /> ; <br /> , . � <br /> NO. � I .^`� �� �� DATE � ;. ,jir i <br /> I <br /> 602► �- �� � }s- ��e � <br /> Service Addres�^`-�" �� �f �� � "' �."��tH+ty Account iVo. � <br /> r,�- i <br /> '�J �� ��- , ��' y ,!�;�� ` • Permit Fee '� � <br /> Biliing Address � � , „� i <br /> � - � / - ���" y'�s� i <br /> Citv, State, Zip, - � �`'� r '�� ��'3 Connection Charge(s)�` I <br /> /' 1 <br /> � Q i <br /> Owner (Mortgagor) �^`" "' ��'�� ' _' To.al Fe= <br /> Billing Name `�" ' `�� <br /> � <br /> C�.,� �: ac.tie:i By_. __`-� I % , <br /> '. ,� ` J l : <br /> Signed r /�: ,� l%. ___- � <br /> �{;!rJr�S� � i :� Customet 4;. ' <br /> /' I <br /> Phone 'r: % "%j l' % i� 'i <br /> DESCRIPTION: � Sewer District ' y '--`�`"� ��- i <br /> Lot � - QIoEk" "'"'�..:;_�� � <br /> , Monthly Sewer Service_-- � a <br /> Plat t .��, :,%_/ <br /> , <br /> Unplatted Description Monthly Sewer Constr. � <br /> <,�- � <br /> � <br /> Trunk �' ? `S -� �u I <br /> Type Permit: .�� , r l- " r� � <br /> Lateral ^� ' I� ��s _ <br /> Remarks: � <br /> Abutting Lot� Line .., � <br /> � N�S� E, W / U ft. <br /> - , � <br /> _ / � <br /> Approved 8y' ='J <br /> City Engincer <br /> (. <br /> - Is�ued By f <br /> Inspection By � 1 �1�-c ' �2`-"� � <br /> // � <br /> Date Inspecte :� � � 7 — � <br /> � <br /> p - , ^ � <br /> SEE SKETCH ATTACHED NO. �_'_ �•_ .5 ) ��� <br /> . __- ., ; � .-•:_.�:_a�-:.r. IiVSI'�CTlp�.l T+r�, _. - . <br /> .-_._ . __ � . .. � , <br /> ' _ . . _�.`"_�_. . '� . � � ' . � . . . . .. . - . .. � � � i <br />