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CHART NO. / a� 2�j f <br /> ever� ; �\�V,� <br /> J <br /> � , �f�7 '7 � ' <br /> City of Everott (� <br /> . <br /> Sewer Application and Permit <br /> N0. 23192 DATE ����— <br /> Service Address.v n��_���v��`J Utility Account No._?`� gS7 <br /> Billing Address �/���'Q� Permit Fee 7/� � <br /> City,State, Zip Connection Charge�s) ��� � <br /> Owner (Mortgagor) Total Fee �a� <br /> Billing Name <br /> . <br /> Connection By — � ' <br /> ,.- <br /> :� '' / �-� __.,= <br /> Address Signed� '��' - -���- '=�`_,. i-, <br /> customer <br /> Phone � S C� /��L7 � <br /> DESCRIPTION: Sewer District._c����'�+�' •�1--- <br /> Lot Block `� <br /> Monthly Sewer Service � SO '� <br /> Plat <br /> Unplatted Description ' Monthly Sewer Constr. <br /> Trunk � � � o�/O~ <br /> Type Permit: ���, � ���- <br /> '�,� �--� Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �f P:, S, E, +v ft. <br /> i <br /> C p J� Approved By <br /> Ciry En9inett <br /> �SSUE'd BY / <br /> Inspection By `�`-� <br /> — —r — � � -�g <br /> Date Inspected / <br /> SEE SKETCH ATTACHED No. 23192 <br /> INSPECTION <br />