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everett <br />� <br />Cih� of Evcren <br />Sewer Application and Permit <br />No. 24354 DATE $eptembez 16, 1482 <br />�13 75th Ylece S.N. <br />Service Address_ Utility Account Na.. <br />BillinyAddrr.ss 826 S.F. E�eratt Mall Piay permit Fee 30.00 <br />City, State, 2ip Evaratt, Warhinqtoa 9U201 Conneciion Chargels <br />tiilli■ Hoae• Inc. 30.00 <br />Owncr (�Aortgagor) Total Fee <br />Billing Iv�me tiillia Houaa Inc. <br />ilillis No�ses Inc. <br />Cannection Bv_ __ <br />Si <br />Phcne 355-4492 <br />DESCRIPTION: <br />Lot__ 10� _ Block_ <br />Plat �ralcaa Eeta[ee <br />Unplatted Description <br />Type Permit: New Connection <br />SEE SKETCH ATTACHED <br />IN;,{�i:C110N <br />76191-6 <br />270.00 <br />Sewer Dislrict <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk 1.15 <br />Abutting Lot Line <br />N, S, E, W <br />Dond IZ <br />G.50 <br />Approved8y A. R. Theal <br />Cny Engmecr <br />L. Dond <br />Issued 2v <br />270.00 <br />� <br />. '. % � / <br />Inspection By__� '''7t'�:' ,( i �.'-�"-` — <br />� , i _ <br />Date Insp��cted ��� - ' ���'�" <br />No. 24354 <br />� <br />n <br />� <br />� <br />J <br />