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everett <br />� <br />City of Everett <br />Sew�r Ap�lication a�d Permot <br />No. 24964 DATE <br />7402 7th Lrive Hest <br />Service Address_ <br />��tol,er 17. 1984 <br />Billing Addres; 0z6 S.E. Evc:rett Mall h'ay <br />Fflrerett, h'a. 98204 <br />City, State, "Lip__ <br />Owner (Mortgagor��;illis itomea inc. <br />BAt� <br />Billing Name <br />Connection By_ <br />Phone 755-4492 _ <br />DESCRIPTION: <br />Lot_l� Block <br />Plat �eralene Fstate5 <br />Unplatted Description <br />764]I^6 <br />Utility Accoun[ No. <br />Permit Fee 3�`•�0 — <br />Connection Chargelsl <br />270.00 <br />30.O11 <br />Total Fee — <br />Signed <br />Cuslamer <br />Hond ZI <br />Sewer Distnct <br />6.50 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 2}0.00 <br />Lateral <br />SEE SKETCH ATTACHED <br />i� i,,'.'I�CTI01� <br />Abutting Lot Line <br />N, S, E, W — <br />Approved By A• R� �heal <br />City En9ineer <br />S. Bond <br />Issued BY — <br />Inspection [3y-��L�--- <br />Date I nspected 1 Z"�� li <br />N0. G��pQ. <br />� <br />� <br />r: <br />H r <br />H : <br />cn ; <br />o' <br />n� <br />�� <br />�: <br />n <br />�: <br />� =- <br />H F- <br />H C'' <br />�� <br />o;: <br />ry ;. <br />�� <br />�'. <br />� <br />� <br />