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evereft cHAR7 No. <br /> e � <br /> � S�n/T .—v Cyf,Le7..tXr �z/2 s�eG <br /> City of Evarett � g � � <br /> � o � � <br /> � C1 M <br /> Sewer Application and�, ' <br /> � � � ; �._y <br /> N0. ZS7S9 DATE _��� �1X� <br /> Service Address_ 'i }S � �o ) . f�y� j Utility Account No. <br /> Billing Address—_ � h � � � � � � L � � • )� permit Fee— %�) `�� <br /> City,Sute, Zip_ -- ,,�. i;� i-� :v %,. i/ Connection Charge�s) <br /> Owner (Mortgagor) ! '�� . � , 1 � , /i � ;� <br /> Total Fee_ j(J <br /> Billing Name '„, ,,1- <br /> ConnectionBy t/„� �:, ;�.• �;, . � ( i .��� ; . <br /> � � 1Address_ � �l �' ' <br /> : `/ .'�,. .� h i... /.),.�:L�igned .�.i. • ,:`,f ,' <br /> v , � cu:tomer <br /> Phone � i J <br /> i <br /> DESCRIPTION: <br /> Sewer District <br /> Lot_� g�ock <br /> Plxt Monthly Sewer Service <br /> Unplatted Description_ Monthly Sewer Constr. <br /> TYPa Permit: I Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Enpinem <br /> IMPORTANTI / � <br /> CALL 1�800424•5555 48-HOURS Issued By_ L�� IC.�:1 l. / ( /�� 1 - <br /> PRIOR TO DIGGING <br /> CqLL 259�8817 FOR INSPECTION <br /> Inspection �� ��e�i.+�.. <br /> Date I nspected_ /� '�/-�G <br /> SEE SKETCH ATTACHED NO. 25 T89 <br /> If�Si'ErTION <br />