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everetl <br />� <br />City of Fverett <br />Frgi�ieering & i:ommunity Services <br />Sewer Application ar�d Perrnit <br />�� <br />NO. a� (�� O i� DATE 7`- � -�'• �- <br />Service Address �u(% % /�i`�� .'�� �r <br />Billing Address �7��� �'e�����-a'0v - <br />City, State, Zip �fD�/G'�� ��l ����� <br />v C/ <br />Owner (Mortgagor) �F•f'ti%m ii� �--�+��'r/`� <br />� <br />Billing Name � � ��� C <br />Connection By �J'�'�-T� �' "�/l� �'" <br />Address �%7�� ,��-�ii;�'�a.es .'� j%t<'�CC <br />Phone ' `�-� � ��� h� <br />DESCRIPTION: / <br />Lot�� 7v �' ��� �1 Block <br />Plat �"'' �� i�%/S <br />� <br />Unplatted Description <br />Type Permit: <br />CHART N0. � � � �' ^-� � <br />i-� � <br />� � <br />�1 � <br />;' C� 5,� i <br />. , <br />z 2 � -7� 'i <br />I <br />, �, <br />Utility Account No. <br />Permit Fee <br />Connection Charge� <br />Total Fee <br />Signed <br />Customer <br />SEE SKETCH ATTACHED <br />Ta,P-�- — �'S�'ti. , �..'. _ <br />�/y��i `� � . � , a: <br />; F. r t�J1.¢ _, _.. V � .. . <br />Sewer District - -� <br />Monthly Sewer Service ' `� <br />Monthly Sewer Con;tr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />, � <br />Approved By i �� , -.> ,,.* � <br />Ciry Engineer � <br />i� � r <br />Issued BY �rL •..'�'""- � <br />c � <br />Inspection 8 <br />Date Inspected ,/ ' ��— <br />N0. ��: l-; ! ; <br />,.�� .T} � � b � ���,�1".P+� <br />, ��.�•, t .., __.. <br />tl <br />I <br />i <br />