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evetett . ,� <br />� .., <br />City of Eve�ett <br />; .Enaineuring:& Community Sorvice.; <br />�:t5e�o�ver Ap�6ieataa�r an� P�r�nit <br />N0. Z L I.3 � UP.TE �l`{_L, J-7'C., <br />T <br />� r. r�'74��t Jl.�;...�,..r e r <br />Service Addrers z -'-=-- <br />��• f'� . � .� �! r �,� ". ---- <br />Billing Addres.-- ,. <br />'' t.s i-,L� k41�•Y'1 � ;��:'L��i.} <br />City, State, Zip.�_` %-�� ---------- <br />Owner (Mortyagor)S�t='�'� ` r,�!_./ 4M.1 ��-c .;• � �-,.� <br />Utility Account N <br />Permit <br />rZ ��C� <br />Connection Charoe(s) <br />,Z �.,, r� <br />Total Fee � <br />=-, ;�,,.-� w. -- ; .� �, <br />Billing Name_. --- .- � <br />jj�\ � '/ �._.iJy: --:? � i� <br />1 i �.�.� _'"'_1�1'.y�.___ 'YJ _ �' :/' , <br />� <br />Conne�.t�on Qi-r-�� �-_ � �% / 'i1. <br />� <br />/(�.i.�f.'j-y(-jti^. �i�i- <br />Addmss �.�'�—��-, __ 5i!�� -� c�:o�„�. <br />Phnne �a�''i- �t_ <br />UESC;��PTION: [`d-.y <br />Lot F�` [a __ R!och.-:-_- `' �--- <br />(�n._.::� � i S <br />Plat �;:�-_._�� ------- <br />Unpletted Des�:ription_ - <br />�� <br />Type Permii: ��>>l�i� f_+�-'�__ <br />� <br />SEE SKFTCH AT'TACHEC) <br />$���r.r Dist <br />Monthly Sewer <br />Pdontl7ly Seveer Consir. <br />Abutting Lot Line <br />N, S, E, W___-- <br />APPioved By C. • F•lf.. x.}�_ l�c��7 <br />City EnPineer <br />C..� � ' <br />IsSUe(I fiY � �='t''�JL:� 1�+�-� <br />Insp�:uon <br />pate <br />TREASUR=t` <br />vo. 2<164 <br />� <br />i <br />