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� CHART NO. <br /> I everett . <br /> � � <br /> City of Everett I <br /> i <br /> Sewer Application and Permit <br /> ,4:�65 9/29/$� F ��t.��r "L-7-R: K,= <br /> NO. � DATE <br /> 409 Vezalone Hay S.W. Utility Account No. <br /> Service Address <br /> 62G S.E. Sverett t1a11 Hay permit Fee 30.OQ <br /> Billing Address <br /> Evarett, Wn. 98204 Connection Charge�s) 270. 00 <br /> City, State, Zip <br /> Hillie Homes, Snc. 30.00 <br /> Owner (Mortgagor) Total Fee <br /> Iiillis Rowas, Inc. <br /> Billing Name <br /> � <br /> Connection By � <br /> � � , <br /> Address_ Signed �' <br /> fus�omer <br /> 355-4492 <br /> Phone — <br /> DESCRIPTION: Sewer District Bond II 'I <br /> Lot S� Block G.SO <br /> Plat <br /> Voralene Eatates MonthlySewerService I <br /> Unplatted Description _Monthly Sewer Constr. <br /> Trunk 1.15 270.00 I <br /> Type Permit: New Connection <br /> ilateral 'i <br /> � RPmarks II <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> t <br /> I <br /> I A. R. Theal I <br /> Approved By <br /> Ci�y Engineer �I <br /> F.. $OTlfj I, <br /> IS^UBd BY I <br /> �) , i � <br /> �` t i <br /> r/ i�� ( <br /> Inspection By -- <br /> � Date I nspected � — �� —� � I <br /> SEE SKETCH ATTACHED No. 24365 I <br /> IINSP[CTIUI� �'� <br />