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� <br /> l <br /> I <br /> I <br /> i <br /> i CHART N0. �8-2 $"�� <br /> � everett <br /> ; � ��D S i �T <br /> ` /,:�?_�� <br /> i City of Evarett � <br /> 1 ' <br /> � Engineering & Community Services % <br /> ; Sewer Application and Permit <br /> ; <br /> � <br /> � <br /> iNO. <: ! �� .� � DATE <br /> IService Address �-�J.t � "�- �i� � Utility Account No:i- ti •"- r ;v� .� �i <br /> � Bil;ing Address -•���i_ �.: / S/ � �" <br /> 1,� Permit Fee_ , i <br /> ( City, �tate, Zip �. _%/.l :: �%',. ' ,(.`� = i .i' <br /> � Connection Charge(s) <br /> c. ; <br /> � Owner (Mortgagor)�i% � /�, � •� �.�,: /�,- � tal Fee -' ��� <br /> . . �T9. <br /> � �illirSg Name _=-y-:_.._ :..._. <br /> f <br /> iConnection By .�" _ t <br /> � Address Signed <br /> Cusmmer <br /> i� i �� ! <br /> Phone— Y^ /'- i' , 'J� <br /> EDESCRIPTION: Sewer District �';� i�- <br /> � Lot �S7 Block_ --' <br /> Plat y✓� �' • f` F Monthly Sewer Service - - ,i <br /> ` Unplatted Description Monthly Sewer Constr. <br /> � Type Permit: ';;,� . ' • Trunk — <br /> � _ �A;.�� - - <br /> Lateral <br /> I Remarks: _ <br /> Abutting Lot Line <br /> IN, S, E, W ft. <br /> � <br /> � <br /> i Approved By <br /> i Ciry Engmecr <br /> � <br /> I <br /> i — �SSl1C� BY _ f__�� <br /> M <br /> � <br /> IInspection By � � i.._L�- <br /> � — <br /> � 3 Date Inspected /� �l �� <br /> KETCH ATTACHED \� NO. <br /> � ;. ii;SF'CCiI!ii,' <br /> � <br /> . .� . _ _ -." _ _.. _ � '_ <br /> � <br /> � <br />