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�s <br /> _ � <br /> tzcrz4 -s <br /> CHART NO. Q <br /> �vereh <br /> e <br /> City of Eve�ett ^� <br /> 1 <br /> Sewer Application and Permit <br /> N0. 24489 DATE �/ ;�.. . �_ (i �_ �_ _.^ _ <br /> i <br /> Service Address� 5� � m� Utility Account No. <br /> (/ c <br /> Silling Address_ SDvrk�-� Permit Fee /d . 0 0' <br /> City, State, Zip � i/ER�'1'"r �/c�iq Connection Charge�s) <br /> Owner (Mortga�or) C.fl �Pn/ �'1'1 i���oP Total Fee �0. O � <br /> Billing Name_ S/N /lf� <br /> Connection By L�J�UA�E✓� <br /> Address Signed - <br /> Customcr <br /> Phone <br /> DESCRiPTION: Sewer District -- <br /> Lot �y Block �5� <br /> Monthly Sewer Service <br /> Plat _ � <br /> �l1i<- ` y /.�I,t�<) Gc%� <br /> Unplatted Description Monthly Sewer Cons�:. <br /> Trunk <br /> Type Permit: <br /> Later�l <br /> Remarks: �fj ���'Q <br /> " 1 ��— Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> — Approved By ` - <br /> City En9incer <br /> Issued By <br /> Inspection B <br /> J <br /> _ _ _ Date Inspected `3`�`• 83 — <br /> SEE SKETCH ATTACHED N�' ��489 ; <br /> INSP[CTION <br />