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\i <br /> _..� <br /> CHART N0. �—� �� �` �-'S <br /> evere$ M'f 9 I ' r ^ , � <br /> `�y,` �r,¢. o � � <br /> � o ut (_� <br /> () -� <br /> ; �I': . , . � � 8� o u� % uo <br /> �t o �y �. z <br /> ::v 'yi� ;.::. 7,h _ - � <br /> City of Evarett ��, � <br /> o CY_ . �o <br /> , . M 7 . _ <br /> �ioi QS �Z � � D099 ' <br /> Sewer �►pplication and Permit �' � <br /> � <br /> � <br /> NO. 2472T DATE •-:;�;,f�6, ■98l `��`--�et7 {<4 2-I�-F�� <br /> Service Address�20S Riaelue Utility Account No. <br /> Billing Address 8+� Permit Fee Z�.� <br /> I70La 12.50 (10.00 t 2.50) <br /> City,State, Zip ��t 1� 98201 Connection Chargels) ' <br /> Owner (Mortgagor) Miah�l D�ek�r Total Fee Q 12.50 <br /> Billing Name » <br /> Connection By t+� <br /> Address Signed <br /> c�:�o�„e� <br /> Phone 252-�OS2 <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: Alt�ration � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Li��e <br /> N, S, E, W ft. <br /> Approved By i� 's'►r�l <br /> Ciry Engineer <br /> ISsued By g � ��'� <br /> . _ . . Inspection By��- " ' `�u�P/MAH <br /> Date Inspected �3�'�y <br /> SEE SKEI'CH ATTACHED N�• Z�TZT <br /> INSPECTION <br />