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,- _l <br /> CHART N0. � � � -z1 `� <br /> everett <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> rvo. 24359 9�22�8� �. �-_ ;; ;. . <br /> DATE <br /> Service Address 517 VF.RALENE WAY S.F'. Utility Account No. �619�-0 <br /> BillingAddress 62G S.E. Everett f•1a11 rtay PermitFee 30.00 <br /> City, State, Zip &nerett, Waehinqton 90204 Connection Charge�s) Z�0.00 <br /> Owner (Mortgagor��tillis Nomes r.c_ Total Fee 30.00 i <br /> � <br /> Iiillis Homes tnc. � <br /> Billing Name _ <br /> Connection By Hillis 1lomas Inc. <br /> Address Signed j <br /> Cuslomer I <br /> Plione 355-d452 <br /> I DESCRIPTION: Sewer District sond it I <br /> Lot 132 Block _ 6.50 <br /> Plat Varalene Eatatas Monthly Sewer Service <br /> IUnplatted Description Monthly Sewer Constr. <br /> II Trunk 1.15 270.00 <br /> Type Permit: i7cw Connection i <br /> Lateral <br /> Remarks: � <br /> -- Abutting Lot Line I <br /> - -- N, S, E, W __ ft. I <br /> I I <br /> Approved By n. R. Theal I <br /> City Enginecr <br /> E. IIond �, <br /> i - Issued 8y <br /> I � <br /> 1���� ! r-� L � <br /> Inspection By_' <br /> i <br /> Date 1 nspected_ (/-� "�' <br /> SEE SKETCH ATTACHED No. 24359� <br /> I IN5Pt:CT�ON II <br />