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everett <br />�I � <br />I City o( Everett <br />i <br />I Sewer Application and Permit <br />i NO. 24232 ,_ Y� DATE -----Z/3o/92 <br />%5�— - <br />CHART NO <br />I505-7�lh Street S.W. 76139-5 <br />Service Address_ . _ __-_ _ _— ___ _ --_ _.._ Utility Account No. _ __.__ — <br />� 02G S.C. Evaratt Ftell Wey ]0.00 <br />Billiny Address__-- __ _ _ _ Permit Fee___ ___— <br />I City, State, Zip �vez�tt, He. 99��4 __ Connection Charge�s) ��O.DO <br />Hillin Hooes Inc. ]�.00 <br />Owner (Mortyagor) _ Total Fee______ _.__ <br />Billing Name '8A1Q <br />Connection By Seme _ _ <br />i Address S <br />Phonc 355-{d9] - --- -- <br />DESCRIPTION: <br />n <br />Lot ___-- Block _ <br />� Plat Veralone Estateo ____ <br />Unplatted Description <br />Type PermiL tiew Connection <br />SEESKETCH ATTACHED <br />cu,mnv�i <br />I�ond II <br />Sewcr District______ _. _--___— <br />6.50 <br />Monthly Sewer Service___. _— <br />Monthly Sewer Constr. <br />Trunk 1.15 270.00 <br />Lateral _ <br />Abutting Lot Line <br />N, S, E, W. <br />AnProved <br />Issued By_ <br />A. R. Theai <br />Cnv Enpmeer <br />C. Dond <br />i <br />Inspection By__._� <br />'� i .i - �C_� <br />Date Inspected__.::Z-_—_ - <br />No. 24232 <br />