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CHART <br />everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24285 DATE h�1�N2 — -- �-- <br />509 7�ph Street S.W. 76161-9 <br />Service AJdress __ _--- Utility Account No. — <br />826 B.L. Eoerett Nall Nay S�ermitFee �0.00 <br />Billing Address — <br />bvarait, tPa. 98��4 Connection Chargels) 2�0.00 <br />City, State, Zip <br />]0.00 <br />Owner �Mortgagor) Ftillir Aomea Inc. _ Total Fee__.. <br />Billing Name 9ane <br />Connectian By — — <br />Phone 355-�492 <br />DE` �RIPTION: <br />Lot �� Blor,k <br />Plat Veral�na Lstatee _ <br />Unplatt�d Description — _— <br />Tvoe Permit: Naw C.onn�atioa <br />Signed_ - <br />ustomer <br />Sewer District_—_ $O°� II <br />MonthlY Sewer Service �• 50 <br />Mont� �y Scwer Constr. <br />Trunk 1.15 <br />Lateral__ <br />Abutting Lot Line <br />N,S,E,W <br />SEESKETCk ATTACHED <br />IN:,PLU IOIJ <br />Approved By �. P,. Theal <br />Ciry Enpineer <br />E. Eond <br />Issued 8y <br />270.00 <br />` �� � •' ��'-' <br />Inspeciion By� � t— <br />� / w ` _l <br />Date I nspected_ ����� t;� <br />No. 24285 <br />