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evereri <br />� <br />City of Everett <br />5ewver Appiication and Perrnit <br />No. 24957 <br />Service Addres: <br />Bil�ing Address <br />City, State, ZiF <br />pwner (Mortg� <br />. <br />Billing Name_ <br />Cunnection B� <br />DATE October 15, 1984 <br />730fl 7th Arive T�est <br />626 S.E. L•verett b5a11 L4a}• <br />Everett, Pin. 9fi204 <br />f!illis t�omes Inc. <br />ltillis Hamas Inc. <br />355-A492 <br />DESCRIP i ION: <br />Lot �-d Block <br />Plat Ve.-alene Lstates <br />Unplatted Qescription <br />7fi425-8 <br />Utility Account No.__ <br />Permit Fee 30.00 <br />Connection Charge�s)_ <br />Total Fee 30.00 <br />,'.70. UO <br />� <br />Signed_ <br />� �Customer , <br />Sewer District <br />Socxl II <br />Monthly Sewer Service 6.50 'I <br />Monthly Sewer Constr. �I <br />_ , 27U.00 I <br />SEESKETCH ATTACHcD <br />IN`_�P[CTIOP+ <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By A• �• Theal <br />Ciry Enginecr <br />F;. IIond <br />issued Bv <br />� <br />Inspection By �`�`� i <br />Datelnspected ��-��-gl• <br />N0. 2�95T <br />