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I everett CHART NO. <br /> � <br /> City of Evemtt <br /> $eWer APpli�ction and Permit <br /> NO. ZSB�.S DATE <br /> �nat 2� 19ae <br /> Service Address �— <br /> Utility Account No._ <br /> Billing Address_ Q� _ <br /> Permit Fee �� 10.00 <br /> City, State, Zip <br /> Connection Chame�s) <br /> Owner (Mortgagor) <br /> —��_"�'_` Total Fee <br /> '�— l0.U0 <br /> Billing Name_y�� I <br /> Connection By <br /> Addrnss�_ I <br /> Signed <br /> Phone,—___�__ c,„,a,,,�, � <br /> ----_ <br /> DESCRIPTION: <br /> Lot 162 , Sewei District ���"``''�'�' 95-�'�� 1)01k1p21�r ttLt <br /> ----� 81oc�c_�_ <br /> Plat Monthly Sewer SerY�F��'��'y <br /> Unpletted Description�_ ,:,, I <br /> MonthlySewerCo ��'l'� <br /> �— • 'u' f10.pJ <br /> TYpe Permit: Trunk b����� <br /> i <br /> •4 <br /> Rema��ks: _ <br /> Lateral '����<«1� • <br /> ---___. . , <br /> __ Abutting Lot Line������45 ' <br /> -�_ WA1Lf' an'I.IkI <br /> Nr $, E, Wtu���a. <br /> ft. <br /> �— <br /> �_. <br /> APProved BY_�ypp�p R ime�, <br /> IMPORTANTI ���v E"°'"°°' —� <br /> CALL 1-BOOd2A•b66548-HOURS Issued By x., � <br /> PRIOR TO DIGGING ��Y �•n I <br /> —�� <br /> CALL 269-8811 FOR INSPECTION i <br /> � <br /> — --- �__ Inspection By I <br /> Datelnspected <br /> SEE SKETCH ATTACHEO N0. Zs�1J� I <br /> � <br /> � IhJG;CCi IUN � <br />