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Dk <br />City of Everett <br />Sewrer Application and Permit <br />No. 24177 DATE _ — <br />413 74th Street S-N- <br />Service Address <br />026 S.E. Everett Hall Ysy <br />Billing Address <br />Everett, We. 98204 <br />City, State, Zip. -- <br />Hillis Bowes Inc. <br />Owner (Mortgagor) ---- <br />Same <br />Billing Name -- <br />Connection - <br />Address - <br />Phone 355-4492 — <br />DESCRIPTION: <br />Lot 85 Block- <br />Pla. Veralene Estates <br />Unplatted Description --- <br />Type Permit: <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART <br />POSE e-O <br />76116-3 <br />Utility Account No. - <br />20.00 <br />Permit Fee_ — <br />370.00 <br />Connection Charges) <br />30.00 <br />Total Fee,_ <br />Signed Cavanrcr <br />INSPECTION <br />Bond II <br />Sewer District <br />6.50 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />1.15 270.00 <br />Abutting Lot Line <br />N, S, E, W <br />A. R. Thesl <br />Approved By Gry E-p--en <br />E. Bond <br />Issued By — <br />I4nspection ByZA <br />Date Inspected <br />NO 4177 <br />t <br />