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CHART NO. <br /> everett <br /> I <br /> e �os�� �. ; <br /> City of Everett g - '� _��� I <br /> v '� I <br /> 5ewer Application and Pe�rmit ! <br /> � N0. 2426p DATE '�3�8? _ � <br /> 509 Veralene Way S.at. 7G1S4-A I <br /> Service Address _. Utility Account No. _ _ ' <br /> Billing Address 826 S,E, Sverett Mall Way pennit Fee ��0.00 <br /> I City, State, Zip �veratt. We. 96204 Connection Chargels) 30. 00 - <br /> Owner (Nlortgagor) Fiillis ktones inc. Total Fee 270'�� I <br /> Billing Name <br /> ISar�e <br /> Connection By <br /> IAddress Signed ' <br /> Cuiihmur � <br /> � <br /> Phone 355-4492 <br /> DESCRIPTION: Sewer District Dond II <br /> Lot 43 _ Block <br /> Monthly Sewer Service 6.50 <br /> i, <br /> Plat veralonc £statea , <br /> Un{.latted Description Monthly Sewer Constr. <br /> Trunk 270.00 <br /> Type Permit: Hew Connactior <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> i N, S, E, W ft. <br /> � - <br /> � <br /> i Approved8y A - A. The�l _ <br /> Gry Engincer <br /> F. IIond <br /> Issued By <br /> .� � <br /> �� � � <br /> � <br /> � � /� <br /> Lispuction By' <br /> ' --— <br /> r, � <br /> Date Inspected �S �'` -� � <br /> I SEE SKETCH ATTACHED N0. Z42�0 ' <br /> I ; <br /> � li:�{n_1..;.,�i�.: �, <br />