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evereri <br />� <br />City of Cverett <br />Sewer Appl�coti�n and Permit <br />NO. Z��pO DATE ?/ �/ <br />Service Address '% k (r �! �_r=-�y.�,:� �� <br />/ <br />Billing Address__� <br />� �/ <br />City, State, Zip,� ✓���G�l; ��. ia��� <br />/ � <br />Owner (Mortgagorl � +-f.cc-ray �%�vx. <br />� 't <br />Billing Name�-r <br />Connection E <br />Address_ <br />Phone_ <br />DESC��R7I�PTiI( <br />Lot� <br />PIa�i7"""` <br />Unplatted Di <br />Tvoe Permit: <br />CHART <br />Utility Account No. <br />Permit Fee <br />�L� ov <br />Connection Charge�s)_ <br />/ -o <br />Total Fee /G� � <br />Signed � � <br />. '; % <br />Customer <br />SEE SKETCH ATTACHED <br />INSPECTION <br />. � <br />Sewe� District _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />ApprovedBy ��/�Y. /LJZi't�2�'-e�cS- <br />CIry E B�neer i <br />Issued By 4 v-�G,("`� �J I <br />Inspection <br />Date I <br />rvo. 23880 <br />