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everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />rvo. 24402 <br />DATE 11/16/EI2 <br />Service Address 6423 Cverarann Wav <br />Billing Address 14 East Casino Road <br />City,State,Zip Everett, Wa. 90204 <br />Owner (Mortgagor) Landdowne Iac. <br />Sama <br />� Billing Name <br />IConnection By �onald Graham Const. Inc. <br />Address 14 East Casino Road <br />... 774-0098 <br />Utility Account No. <br />Permit Fee 40.00 <br />Connection Charge(s) <br />Total Fee 40.00 <br />ordinance 715-80 <br />Arca i (Northend) <br />Signed <br />Cuslomcr <br />1203.G9 <br />Dond II <br />DESCRIPTION: Sewer District <br />Lot � end 10 g�ock 5 <br />MonthlySewerService_ Hetered <br />Plat Devozlv Itills Div. 1 <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />Type Permit: 27ec+ Connection and Catch Basin <br />Remarks: <br />SEE SKETCH ATTACHED <br />Lateral i <br />Abutting Lot Linc <br />N, S, E, W. <br />Approved By n.R. Thoal <br />CnV Enginccr <br />Issued Bv � • Bond <br />Inspeciion By 'r + / .G� 1 <br />Date I nspected� _ <br />N . 24402 <br />INSPECTION �OSj�D <i�j�� <br />_1 <br />