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�����.c.��;%� -, > ,.,... <br />everctt <br />e <br />I City of Everett <br />� Sewer Applicati�n and Permit <br />No. 24895 <br />DATE ��y 18, 1984 <br />620 S.E. Ever.att Iiall Hay <br />Service Address <br />G920 Fisher RoaB <br />Billing Address <br />City, State, Zip <br />Ed�onBs, Ha. 90020 <br />Larry Hillis <br />Owner (Mortgagor) <br />Sa�ae <br />Fiilling Name <br />Connection By <br />Address <br />743-6297 <br />Phone <br />DESCRIPTION: <br />Lot 2 Block <br />Plat <br />Unplatted Description P�• L°t 4 18-28-5 <br />B Tvoe Permit: New Conaection <br />e <br />CHART N0. �-'v � �" "' S <br />�o s t-�cY �: �,�.- <br />l� -��'�`'` <br />5 <br />S � <br />W, �. � <br />16088-7 <br />Utility Account No. <br />Permit Fee <br />30.00 <br />Connection Charge(s) 3U19.G5 <br />30.00 <br />Total Fee <br />pzdineace 984-83 2792.40 <br />Signed <br />Customer <br />Sewer District n°�d 2I1 <br />Monthly Sewer Service �tered <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Abutting Lot Line <br />�N� S. E, W <br />1?38.00 <br />2061.65 <br />395 <br />Approved By_A. R. �i'heal <br />Ciry EnB��eer <br />E. Bond <br />Issued By <br />Inspection By ��'S1'�� „ <br />Date Inspected �`�� � <br />No. 24895 <br />