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everetl <br />e <br />City oF Everett <br />Sewer Applica�ia►n and Permit <br />rvo. 24465 <br />DATE <br />Fab. 3, 1903 <br />ServiceAddre�s OOOE IIeverly Dlvd. <br />980Q 31eL Avenua S.E. <br />Billing Address ------ <br />Everett, Ha. 90204 <br />City, State, Zip_ - <br />Tredway Conetructlon <br />Owner �Mortgagorl — <br />Billing Name <br />Connection Bv -- <br />Address — <br />Phone 337-6850 __ <br />DESCRIPTION: <br />2 _ Block <br />Lot — <br />Plat Deoerly Pazk <br />Unplatted Description - <br />Type Permit: 8006 Bovarly 61vd. <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO. �' y-z�`S <br />1—'o-.ac.c� !:B 3-2z-8J <br />UtilityPc:ountNo. �«17-� <br />30.00 <br />Permit Fee_.—__._--- <br />Connection Charge!s) 725.OQ <br />�0.00 <br />Total Fee <br />Signed c�s�ome� - <br />INSPLCTIUN <br />Sewer District <br />Monthly Sewer Service. <br />Monthiy Sewer Constr. <br />Bond III <br />7 6.50 <br />330.00 <br />395.00 <br />At�utting Lot Line <br />N,S,E,W <br />Approved By ���� Engineer <br />Issued B <br />Inspection By � �`� � Je� �� <br />Date I nspectedL� - �`n e�"` '=1— <br />No. 24465 <br />u <br />�1 <br />