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u <br />t� <br />� <br />City of Everett <br />5e�`er Ap�alication and Permit <br />N0. ��}32G DATE 8/3/t32 <br />CHART N0. r � �- �` �` "� <br />ServiceAddress �z03 7th Drive s�est UtilityAccountNo._ <br />Billing Address <br />826 S.E. Everett Mall Way PermitFee 30.00 <br />City, State, Zip Everett, t4ashington 98204 Connection Chargels�_ <br />Owner (Mortgagor) tii>> � a FIOm�s inc_ Total Fee 30.00 <br />Billing Name San:e <br />Connection By Same <br />Phone 355-4497. <br />DESCRIPTION: <br />Lot 27 Block <br />Plat Veralene E�tates <br />Unp!atted Description <br />Type Permit: xew Connection <br />F'�:"-Fc;,l i{ � �/. <br />76177-5 <br />270.00 <br />Signed <br />a��mm�, <br />SEE SKETCH ATTACHED <br />�t� SPL=C1'ION <br />Sewer District i.ond II <br />Monthly Sewer Service_ 6, SU <br />Monthly Sewer Constr. <br />Trunl< 1.15 270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By n• R• Theal <br />Ciry Er��necr <br />Issued BY „_ E_Dond <br />, ., <br />�:' ' . . <br />Insp�ction Hy— �� =���f��' �-''�-� � <br />r, <br />Date I nspected �-.' ' i 5" ` Z� <br />N0. �Q��Z2 <br />A <br />0 <br />