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CHART N0. U g � " Z�� S' <br /> � everett <br /> � '�'� �/� n <br /> ' �LJS� �� YJ 1D 'G J - :,� � <br /> City of Everett / "I <br /> '� I <br /> Sewer Application and Permit <br /> No. 23733 DATE 9/3/80 �_ <br /> Service Address 602 Brentvood Place Utility Account No. 76003-3 <br /> 4820 liidden Forest Drive !ED 30.00 <br /> Billing Address Permit Fee I <br /> City, State, Lip Evezntt, taa. 98204 Connection Charge�s) 107. 50 <br /> Owner (Mortgagor) pavid A. Anell Total Fee 30.OD <br /> David A. Anell Ordinance A669—IIO <br /> Billing �Jame Area BI � 221.00 � <br /> Connection By sumc <br /> Address Signed � <br /> 347-1145 Oi 542-7474 (Ogflce) c�stom�r <br /> I <br /> Phone I <br /> 11 Bond I I <br /> DESCRIPTION: Se���er District <br /> I Lot 3� Block ' <br /> Plat <br /> Heckonwood Monthly Sewer Service 3' B� i <br /> I <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk o.20 107.5o i <br /> Type Permit: Now Connection <br /> Lateral <br /> � Remarks: _ ' <br /> I Abutting Lot Line I <br /> I N� g, E, W ft. . <br /> I I <br /> I , <br /> Approved By I?. F7arren <br /> Ciry Engineer ,, <br /> E. Bond I <br /> Issued By ' <br /> � <br /> I <br /> I <br /> Inspection By /' � � ' ' <br /> , <br /> � Date lnspected ,�/� �' / �� % <br /> � <br /> SEE SKETCH ATTACHED No� 237�3 <br /> j INSPECTION <br /> .«�;!.. <br />