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. , <br /> 1V1r. � -�,Ij"'1C� CHART NO.CT-' 1�i-a9-f <br /> M^' <br /> 1 �/ '+ <br /> � qls�1t : <br /> City of Evarett � <br /> Sewer Application and Permit <br /> � <br /> NO. 73175 DATE , / �' , � <br /> S�rvice Address ,�D/ � �-*��� .��/l Utility Account No. � <br /> /�, 0 <br /> Billing Address �L7 30 �z_ Permit Fee �n �' <br /> r <br /> City,State, Zip +Le'L��70?� Connection Charge(s) _ <br /> /��f JO�_ � <br /> Owner (Mortgagor Total Fee <br /> r <br /> , Billing Name �«..Q� <br /> i;��.' �. . f <br /> b-.' ' Connection @y �-.--.�-� <br /> �� - <br /> "<':� �" Address Signed -- <br /> +::; : ��: �.— -cy.w�x__ . <br /> �i;`:, � Phone '1'�-� �r 3 5r� <br /> �� `�� ..:. <br /> I�`�w . � ` DESCRIPTION: Sewer District <br /> ;£ ' Lot ��}--Bloc,k�/ <br /> Plat_,����+' .1�L� Monthly Sewer Service �7 . ti"� <br /> � � } <br /> � t' `` '%; ', Unpletted Description Monthly Sewer Constr. <br /> ;f.',. , <br /> Trunk ; <br /> ; '{ Type Permit: � <br /> ��'` � <br /> p � b Lateral � <br /> r` . <br /> k,,:. ; Remarks: qbutting Lot Line � <br /> � ,: N, S, E, W��� ft. F <br /> � .. `i� � <br /> Vr <br /> Approved By �'' -� <br /> cirv enainaer ', <br /> �SSUCd B�/ / - / <br /> � (o �� <br /> Inspection By � " `'' "^ <br /> � Date Inspected ' - <br /> SEE SKETCH ATTACHED NO. Q31T5 <br /> _ �NSPECTIUN I <br />