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ei.r i- ��-��, <br />i <br />evered <br />e <br />City of Everott <br />Enqinserinp d Community Services <br />Sewer Aoplication and Permit <br />No. 2 2 5 7 9p49 DATE �'� ��}� I <br />Servfce Address �_ ��,�/ ' ��� ' Utility Account No. �' � <br />�_;��•-o> <br />� <br />Bilflng Address �77�`� ��// ; ` � '�' Permit Fee_ > `) <br />�/ /%` ��, _ %klJ�� ConnectionChergels) –'�� � <br />City, Stete, Zip.L�t��zY�–� � G c� �, <br />�' '� � ` F � <br />Owner (Mortgagor) ��' " � '' `°' Total ee_ <br />Billing Name �'�`=`'r <br />Connection By ''�� ' � <br />Address Signed c�s�ome� <br />Phone_ ���5' • / = // <br />DESCRIPTION: Sewer District �s� � � — <br />� <br />Lot �7 Block Monthly Sewer Service_^�' <br />P�at t . I , i/. � <br />� Unplutted Description / Monthly Sewer Constr. <br />;..<- ._.p '� <br />Trunk <br />� Type Permit: ! 1-�. �' �' � � Laterel <br />; Remarks: <br />Abutting Lot Line <br />N, S, E, W. <br />SEE SKETCH ATTACHED �NSP[Cl'ION <br />, %. <br />Approved By <br />. <br />Ciry Enpmen <br />i <br />ISSUed ey � ' � =---�--- — <br />Inspection 8u�l�n �>G��""'J <br />Date l nspected �� ' � �" � � <br />NO, _' � t, % o <br />