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CFiART NO...? <br />everett <br />� <br />li City oi Everett <br />Se�Ner Applicai ion and Perrn�it <br />N0. 24174 DATE __ 2/]7/(12 ------ L- f�.I:_<I l,'Y, <br />4�5 7ath Street S.W. Utilit Account No. �6115-5 <br />Service Address __--_---- V — <br />H26 S.T. Everet� Hall May 9U.00 <br />BillingAddress_ ---_------- PPrmitFee___ <br />Evorott, We. 9[�204 270.00 <br />City, State, Zip___ Connection Charye(s) <br />Iiillis [�omcs Inc. �0.00 <br />Owncr (Mortgagor) Total Fr,e_ __ <br />Itilli• Hom�� Inc. <br />Billing Name_ <br />Connection By_ _ _ -- <br />Address __ Signed_ _ — <br />c,�s���»�,� <br />355-4492 <br />Phone ____ — <br />DESCRIPTION: Sewer District.___ II <br />Lot �4 Block Monthly Sewer Service 6. 50 <br />Plat Veralane E�tete� <br />Unplatted Description __— — -- Monthly Sewer Constr. <br />- — Tiunk 1.15 <br />Type Perrnit: New ConnectSon <br />� Laleral_ <br />Remarks: <br />SEE S :G1LH ATTACHEU <br />i�151'CCTION <br />4butting Lot Line <br />N, S, E, W <br />_ ;- ,f <br />, t! N — <br />270.00 <br />Approved �y =xX�dl[� A. A. Theal <br />C�W Eng:nerr <br />F.. Gond <br />Is��ed CV ___ _. _ <br />��( � I <br />JJ ��(1:�.��.5 ���� C'r � <br />Inspection B� r -, -- I <br />� � � � �� i <br />Date Inspected� ' I I'� � J— I, <br />rvo. 24174 � <br />