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everett <br />� <br />City of Everett <br />Sewer Application anc� Permit <br />NO. 2�}�62 DATE 3/3/t33 <br />7210 7tSi Drive Weat <br />Service Address__ Utility Account vo._ <br />Billing Address 826 S. E. Everutt Mall Way permit Fee 30�p0 <br />City, State, Zip �vereet, ga. 98204 Connection Charge�s) <br />30.00 <br />Owner (Mortgagor)_ tilli3 HomQs Inc. Total Fee <br />Billing Name F7illis ttones Inc. <br />Aillis flomes Inc. <br />Connection Bv <br />Phone 355-4492 <br />DESCRIPTION: <br />Lot 21 Block— <br />Plat Vcrnlone Eatates <br />Unplatted Description <br />Type Permit: t7aw Connection <br />76229-4 <br />2T0.00 <br />Signed %' <br />Curtomcr <br />SEE SKETCH ATTACHED <br />�� <br />INSPECTIOP( <br />Bord II <br />Sewer District <br />G.50 <br />Mo�thly Sewer Service <br />Monthly Sewer Consir. <br />Triin4 1.15 270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ ft. <br />Approved B <br />I SSU ECI <br />]1. R. Theal <br />Ciry Engineer <br />E. BOAti <br />Inspection By '-'Y`� �+'`e <br />-� i„ <br />Datelnspected � / % �'� <br />N0. ��ir+V �G <br />