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everett <br />� <br />City of Everett <br />S�ew�ir Applat�tion c�nd Permit <br />Deceml�er a, i9ez <br />N0. 24l�. J„J. DA7E <br />7205 7th Driva Ftest <br />Service Address_ <br />II26 S,E. Everett iiall Way <br />Billin� Address <br />City, State, Zip Everett, t4a. 98204 <br />Owner (Mortgagor)Itillis 1lomes Inc. <br />Billiny Name_ Hillis Eiomea inc. _ <br />Connection gy_Hillia t�omes Inc. <br />355-4492 <br />DESCRIPTION: <br />Lot 2e Block— <br />Plat Veralene Estatcs <br />Unplatted Desc:ription <br />Type Permit: NPW Connection <br />Utility Accoun; No. <br />Permit Fee <br />Connection Chargel <br />Total F <br />Signed <br />SEESKETCH ATTACHED <br />�� <br />INSPECTIUN <br />76216-1 <br />30.00 <br />i 270.00 <br />20.0� <br />Sewer District $Oa7� =I <br />Monthly Sewer Service � • SO <br />Monthly Sewer Constr. <br />Trunk 1.15 270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By A. R. Theal <br />City Engineer <br />�. Hond <br />Issued BV <br />Inspection By <br />Datelnspected <br />No. �?441I <br />-r w <br />