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CHART NO. ��7 Z I -2% _ S <br /> fJ Ievereri ����`"'� I <br /> � r � <br /> : � --- � - � S <br /> , <br /> City of Evereti <br /> � Q� I <br /> Sewer Appiication and Permit � <br /> i <br /> No. 22953 DATE i <br /> 7 �' +,js �� Utility Account No. I <br /> Service Address %r'� � �-> f ' <br /> Permit Fee -- <br /> Billing A :dress - <br /> Connection Charge(s1 <br /> City, State, Zip <br /> Ownar (Mortgagor) Total Fee___-- I <br /> Billing Name __ <br /> Connection BY I <br /> � $19nCC� Customer <br /> Address � <br /> '� <br /> F'hone � <br /> $ewer District I <br /> DESCRIPTION: i, <br /> Lot Block Monthly Sewer Service � <br /> Plat �• <br /> _Monthly Sewer Constr. i <br /> Unplatted Description <br /> Trunk_ � <br /> � <br /> _ I <br /> Tyoe Permit: _- Lateral � <br /> — i <br /> — i <br /> Remarks: Abutting Lot Line f� � <br /> ----- /� o ,. N, S, E, W I <br /> � ?g' ,C !' � r � �-- / � ,S, ° � <br /> _ S , � � �. r .�7 <br /> ,,.�.,_ :�. - <br /> �_r ,� � <br /> _;l�, �.� ��� - -L��-- � li, <br /> I Approved By ���y Engincer I I <br /> i <br /> Issued BY � I <br /> � <br /> � — �� <br /> -� �� � �)�n.�.� � � <br /> � Inspection By_�- I <br /> � 7 % �, <br /> IDate Inspected - � — j <br /> � SEE SKETCH ATTACHED No. 22953 I <br /> I <br /> � IN�?ECTII�W �, <br /> � <br /> �. _ <br />