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� � m '--..` CHANT N0. --- <br /> C � H /f'Yl'ICiI C . I <br /> b H N � /'l r z , � S/ ! <br /> V <br /> H � H (� i <br /> r.) C O , � �, J <br /> H y M ���I�r�i��/�� , <br /> City o( Evcrett <br /> o � � �// ��1 <br /> � ro � Sewer Application and Permit � <br /> b ~ � <br /> r y Z <br /> ?S o N NO. L I r ��� DATE �,�_�O. -- --- -- ---- <br /> a c <br /> �° � r —--- <br /> y o y Service Address 3�� � ��1�/�� A-1�--- Utility Account No. __..____. <br /> Billing Address _ _. Permit Fee__ —_.�—_—.---•----- <br /> City, Statr., Zip _ ____._ f,onnection Charge(s1____.__..—___.__....___._-- <br /> Owner (A1ortga9or)_.--- Total Fce- -----------�---.-.---...---- <br /> ;;iilinr Name_____— <br /> Connectior. 6y_r�L�J3.��..��'--�--'-��-- <br /> Address------ -�---- . Si;�nr,d----- c�,w���� ------_. .__._--- <br /> ' �r <br /> � �� Phone------- ------- <br /> i DCSCRIP'fIOtJ Smvei Oisu�ct.-------------.__------- <br /> I I�,� Lo[_. -- @lock — �lonihly Sewer Service--.--_--_-------- <br /> ��� Plat__._ ----- <br /> Unplatted Description____---_- _--__Monthly Sewer Co�sv. <br /> .�,e � '�—�` Trunk <br /> ' �w� TYPe Pr.r�rdt: �o��'_._ ._- '.' � -------- <br /> — --" l" ' Lateral <br /> � 1�1 Remarlcs: �� � <br /> ��,Q��XS—/(�+R,_ � Abutting L. t Linc <br /> f�xi.GU� � � .�SLCLQ.— �� N� S' E' w-------...__ ft. <br /> � ��: _ o? L�E <br /> •I� <br /> ,-, � r;_ . <br /> _'� ,,�3n��' c , _� sr+�,� <br /> i ' _�.��'_{cc-cR � S, �• ��L � � ` ^, AppfovCd BY Citv Enpinem -- <br /> ���% .�� <br /> � 1.�� P IMPORTANT! �ON�� y <br /> Issued By <br /> CALL 1-800-0245555 AB�HOURS �� <br /> PliIOR TO DIGGING <br /> CALl259S010FOR INSPECTION ,�/ <br /> Insper.tion Ry _ i—�/X��/ <br /> ----. _ - -�5����n<. C � <br /> Date inspected _CLJ�'—��— <br /> SEE SKETCH ATTACHED N�• i�7 � �.�`� <br />