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evere�tt <br />� <br />City of Everett <br />�ewer Appl�cati�n eand Pere�ait <br />6%1o/II4 <br />N0. `Z�iSS3 DATE <br />7406 7th Drive Hea_�_ <br />Service Address — <br />II26 S.E. �roratt �Iall Way <br />Billing Address_ <br />�varatt, Waahington 98204 <br />City, State, Zip <br />Flillis IIones Inc. <br />pwner (P�4ortgayor)_ <br />Billing Name <br />Connectior 8y <br />� Address <br />I 355-44?2 _ <br />I Phone — <br />I <br />I DESCRIPTION: <br />Lot � Block <br />I P�a, Hyyzggy1i�14gXEt(� Verale�Letates <br />� Unplatted Description <br />CHART N0.— �- " <br />/�'��;'-`/-- <br />� } Ff' `{� I i �l �' <br />��,�6�-�Y <br />:^�,c�,S��. <br />;GA01-9 <br />Utility Account No._.---- <br />Permit Fee 3�.00 <br />270.00 <br />Connection Charge(s) <br />30.00 <br />Total Fee <br />Sign��_� �, <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral _ <br />SEE SKETCH ATTACHED <br />abutting Lot Line <br />N,S,E,W <br />sand II <br />G.50 <br />270.00 <br />:. R. Thcal <br />qpproved BY �i�� Engineer <br />E. IIonB <br />I ssu ed <br />II <br />I <br />�' � � � <br />Inspection BY \ � <br />� ��� � �� <br />Date I nspected �-=.s..�=� ' <br />N0. Z4S8'S <br />�, <br />�. <br />m: <br />� ',� <br />T : <br />�': <br />c <br />� :' <br />N'' <br />K, <br />�J <br />S : <br />p <br />}� <br />