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� CHART N0. <br /> � C'VE'IC�i I <br /> � r�o�c� _ <br /> l� z� � �? �� <br /> _, <br /> City of Everett I <br /> I � I <br /> � S�•�nrer Applic�tion and Permi� ; � <br /> i <br /> � <br /> No. 242�6� DATE 9/23/II2 — - I <br /> I422 V�relene Wa S.W. 7G151-0 I <br /> Service Address Y Utility Account No. <br /> BillingAddress�?6 S.E. l;verett Mall Way permitFee 30.00 i <br /> City, State, Zip <br /> Lvarett, tJa. 9820d Connection Charge(s) 2�0.00 j <br /> 30. 00 I <br /> iOwner (Mortgagor) Fiillis lioraea Inc. To�al Fee <br /> I 8illing Name II <br /> Iifiliis Itomee Inc. . ;� , .. <br /> Connection By_ _ ; r��_ <br /> � Address_— Signed ;Cuf om � <br /> 355••4a92 <br /> i Phone — — ' <br /> I Dond II <br /> � DESCRIPTION: Sewer District <br /> ILot__��_— Elock Monthly Sewer Service_ �•50 _ <br /> II p�yt _ Veralene E: tatas � <br /> Unplatted Description _ R'.onthly Sewer Constr. <br /> I — — Trunk <br /> I Type F'ermit: New Connaction <br /> — Lateral <br /> �i Remarks: Abuuir�,y Lot Line <br /> II — N. S, E. W ft. <br /> I <br /> II <br /> � <br /> Approved By_R' A• Theal _ <br /> � Ciry Enginccr <br /> � <br /> i - <br /> I --- E. Bond <br /> Issued By <br /> � <br /> i � <br /> I � / �Q�_�. . <br /> I, Inspection By ,__ _ � <br /> I ___ _ _ Uate Inspected 5�' '�` � �z' , <br /> SEE SKETCH ATTACHED N0. 2�Z6 V <br /> I <br /> I !' ;: ':,t_ i ic>iv ( <br />