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CHART NO.— <br /> everett <br /> � <br /> �� e �os�� _ <br /> �o — B — QZ <br /> I City of Everett � <br /> ' I <br /> Sew�r .Appiicairion c�nd Permit <br /> NO. 2/�•21 � DATE 3/17;82 _ _ <br /> z <br /> 514 Veralena Ha 7G129-G � � <br /> Service Address y Utilit�• Account No. � <br /> m <br /> 026 S.£. Everett Mall Way 30.00 " <br /> Billing Addiess Permit Fee <br /> Evoratt, Wa. 90204 270.00 .�T <br /> City, State, Zip C:onnection Chargels) �� <br /> iIlillis FIome� Inc. �'m <br /> Owner (Mortgagor) Total Fee '�'•�� � c o <br /> m o <br /> Same <br /> Billing Namr. i o� <br /> m <br /> �i --i z <br /> Connection By ; m � <br /> .o z <br /> I Address Siyned _ � <br /> 355-A442 Cus�omer r � <br /> —1 N <br /> Phone K <br /> � ---- <br /> I DESCRIPi�ON: Sewer District S�Ad II I o A <br /> i „ n <br /> � 6.50 -{ m <br /> � L�t VoralcsnoBWnk Monthly Sewer Service_— � m N <br /> Plat _ o <br /> Unplatted Description Monthlv Sewer Constr. �N <br /> Trunk 1.15 27Q. 00 i z � <br /> i Type Permit: tiow Coanection ; � m <br /> Lateral A <br /> � -a <br /> Remarks: _ <br /> A6u[ting Let Line D <br /> I _— N• S� E� W --ft. I -a <br /> I I � <br /> � N <br /> 0 <br /> � <br /> I A. R. Th¢el � n <br /> � Approved By _ "' <br /> iCiry Enginecr � <br /> 1;. .^.Ond I <br /> — Issued By — <br /> • � i <br /> — ,^ / <br /> /��/ ' ' <br /> I Inspection Ry��o�� �f.1����L � <br /> i _ Date Inspected_.� ' `� ��L� __ <br /> I SEE SKETCH ATTACHED N�' 24�y7 �I <br /> iNSPECTION I <br /> _ � <br />