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i <br /> i <br /> � <br /> � <br /> CHART NO._ � <br /> everen _ <br /> ,�„�� 1!o �li,ri. � lD� _ -�5°R <br /> � �� <br /> � <br /> � p <br /> City of Evarett � ;x ' � �? 8 CYi Of� � � �oJ L• <br /> J f') � ' n` 'M � � I?� � � 'O Y <br /> . �f � A �w � <br /> �i. <br /> , Sewrer Applosation and Permit ;; _. � ,; � � � ,� � ~ <br /> I .; ^/� Y� T. � '� � y� r+ :. �i �: <br /> y � V �'I 'J. � � �'� <br /> 2ss�5 3 � � �: ,.�� � � � .. � � <br /> N0. DATE _llQtil 14, 19ee { _ _ <br /> Service Adrress_. . Utility Account No. <br /> BillingAddress ��+�+ � ��� � �g�}g Permit Fee ]0.00 <br /> City, State, Zip o..�-».w ... yppc�__ Connection Chargels) �!0 00 <br /> Owner (Mortgagorl Total Fee_ 30.00 <br /> Spoeial Otility P�� Ord. 1171-BS <br /> BillingName e--- — rater 179.00 <br /> � <br /> wwz 471.00 <br /> Connection By �--- — 650.00 • <br /> Address �_�_ Signed� ,- - --�— <br />� � � Customer <br /> Phone�aT;gBe -- � <br /> DESCRIPTION Sewer Dist/t Ho� izr <br /> Lot 11 _ Block ___ <br /> Monthly Sewer Seivice_ I <br /> PIBt r�•�..p�i.t <br /> Unplatted Description Monthly Sewer Constr. � <br /> — Trunk t�n_n� <br /> Type Permit: per Oonnsatlm <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E. W _ ft. <br /> Approvud By x�z�ee rr.rcr� v_ mwv.�. <br /> cnv e�o��«< <br /> IMPORTANTI <br /> �SSUCd BY S:1L�Tp�n�n . I <br /> CALL 1�800-024�555648�HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION _ / <br /> Inspection By_-1�'�� — - <br /> Date Inspected ���}l <br /> - -- - -- i LC <br /> SEE SKETCH ATTACHED NO. �UVZ� <br /> I ' I � �: ili`:1 � <br />