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J <br />everetl <br />� <br />City of Eve►ett <br />CHART N0. Z 3a-29-S <br />� srED 5- l9-81 <br />�� <br />Sewer Applicction cnd Permit <br />NO. 23563 DATE � � - � ' <br />i <br />Service Address <br />Billing Address � � <br />City, State, Zip � <br />Owner (Mortgagor) <br />Billing Name • `�' % � , , <br />Connection By � ' � ' <br />Phone '� <br />DESCRIPTION: <br />Lot <br />Plat '� <br />Unplatted Descr <br />/ ! -, , , � <br />i r <br />Block � <br />' -. i <br />Tvoe Permit: � , . , <br />Utility Account No. <br />Permit Fee <br />Conneciion Charge� <br />Total Fee <br />Signed <br />c��:�om�� <br />SEE SKETCH ATTACNED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved BY / � ` • '- • <br />Ciry Engineer <br />Issued By � � " ' ' <br />*-�` i <br />� I <br />� <br />Inspeciion By � ! <br />Date Inspected <br />� � I <br />Na� 23563 <br />