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everett � <br />� <br />r ry of Evcrett <br />Sewer Application and Permit <br />No. 2�3(�$ <br />Service <br />Billino <br />City, S <br />Owner <br />8illing <br />Connection By_ <br />DATE <br />Phone�'� '— � b Od <br />DESCRIPTIO : <br />Lot Block Dy <br />PI a ���°`v �ifl � — <br />Unp'atted Description <br />Type Permit: � �t ��� __ <br />Remarks: <br />1 <br />' — <br />1 _ — <br />SEE SKETCH ATTACHED <br />CHART IVO. S 7 -Z �—S <br />,I <br />Jtility Account No. _ c <br />n,- <br />'ermit Fee_�.3� <br />;onnection �hargelsl—�__ _— <br />3 � '� _ <br />fotal Fee <br />Signed <br />;� <br />Se•NerDistrict ------- <br />Monthly Sewer Service_� <br />s.;�;C <br />Monthly Sewer Constr. <br />Lateral <br />Abutiing Lot Line <br />i„ / <br />� fJ. `>, r_, lv. -,�� �.�- � cer=? .. - —ft. <br />� <br />—� Approved By -- -- <br />Ciiy Engmeer <br />Issuurf 13Y'_' _ _ - _ - _ _ _ .— <br />I <br />i <br />�Inspection BY ' ' " �f+-�� `—<---�-.��.�.-' -.---` <br />Date Insper.ted_��— '� �' r <br />rvo. 233':?8 <br />I1.5' ! . i I. <br />