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I . ^d•,�� <br /> nv <br />� _ _ � �AI = :.v- .� '��m . . . . . _ - _ Y' '�� �wr.l`av`�.A <br /> i � <br /> I _- � <br /> � <br /> . I <br /> I <br /> � <br /> I <br /> I <br /> I � � <br /> eve'rett `';' , � cHaar rvo.T�-� �y . �- � I <br /> _ ' ' � ' I <br /> � � / ���_ y� 5 �~� , �I <br /> � �/���f <br /> , � ,,� J II <br /> City of Fverett � n i <br /> Engineering & Community Services /� i <br /> Sewer �4pplication and P'ermit ;� � 'I <br /> NO. '� �3 `� nJ DATE �� /`_= I �J ! <br /> — i <br /> I <br /> i <br /> Service Address � � Utility Account ho. <br /> Billing Address ��' �' �= � � - > ,� !� ':. �� <br /> Pe�mit Fee i <br /> CitY, State, Zip '- - �-% C--%T 'L ! I <br /> Connection Charge(s) <br /> ..t._. � � � a <br /> Owner (Mortgagor) � �= �� % f . Total Fee �' <br /> Billing Name_� ' f" � � ;; .� <br /> Connection By�==-:- {-1:'=L-_.�.� „ , i <br /> /' � �_ , . ,_ <br /> �i � �' <br /> Address ;E r ��:'I.ii .' % > — Signed '�/�/ `'l� � %/ I <br /> NhOf18 ' - - � " � �Customer� � � I <br /> _ I <br /> ! <br /> DESCRIPTION: Sewer District ''� ' � - i r � � L, _� , I <br /> Lot ' � Block j <br /> Plat ' f '� , Monthly Sewer Service`� /r- l-L'' L- � ' I <br /> Unplatted Description Monthly Sewer Constr. �' <br /> Type Permit: � : L_ � , ��„ , Trunk _ <br /> - �� .- . , •_� <br /> Lateral <br /> Remarks: <br /> Abuttiny Lot Line <br /> � <br /> N, S, E, W ft. <br /> Approved By � . � i �- r_i,�.i ,�L, ! <br /> Ciry Enginecr <br /> � Issued By � ' _ :�':. ' i '+ ' + . . , .. .� <br /> _ '` <br /> Inspection By <br /> y Date Insper,ted_ l — %� " 7� <br /> SEE SKETCH ATTAGHED N0. <br /> , _ _. <br /> - - � ------, <br /> ,—T_._ _ .__ _ <br /> r <br />� <br />� s ' � <br /> 't� <br />