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_._..._ _ - ���'�`���� <br /> CHART NO.�� 1�' `— ! -- <br /> everett , <br /> I� � --�_ � <br /> e ���s—�7��+� � <br /> City of Evcrett �_ ` / s <br /> i ,/�� � <br /> Sewer Application and Permit � , <br /> I <br /> �o� 23111 DATE � <br /> Scrvice Address�v a � � �'�^�'"��.� Utility Account No. <br /> � -' � Permit Fee <br /> Billing Address <br /> ' Ciry, State, Zip Connection Chargels) i <br /> ' Owner (Mortgagor) Total Fee t '1 �'� � �' <br /> Billing Name <br /> Connection By ' <br /> Signed <br /> Addre,s Custcmcr <br /> Phone <br /> � DESCRIPTION: Sewer Distrir,t <br /> � <br /> � �o� Block Monthly Sewer Service <br /> I Plat — — <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> i Type Permit: <br /> � /� � � Lateral <br /> �i A A 1-�n / C�l'/I�JC4M_/ <br /> Remaiks: Abutting Lot Line <br /> �, __1���--1 � N S E W f[. <br /> .�.� <br /> � y-� <br /> .—,�+—Ly x,11 <br /> — Approved By <br /> . C�ry Engineer <br /> Issued By_ — <br /> Inspection By "�����Iz"�"`���— <br /> Date I nspected � — � � — �`� <br /> SEE SKETCN ATTACHED N�� 23111 <br />