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, <br />everett n��2�M2D <br />e ►-�� �5 u is <br />D� C 07 1983 <br />Cityof Everett ..................................................................... <br />i;ITY OF EVERETT <br />?::t'i� N!�r'cs De�t. <br />Sewer Application and Permit <br />NO. G4690 DATE 12/2/63 <br />Service Address 1G05 S.L. Everett Mall Hay <br />Billing Address_ p'O. Eox 309 <br />3ellirt9ham, Wa. 98227 <br />City, State, Zip <br />Owner (Mortgagor)Da�r3on Construction <br />Billing �Jame <br />Connection Bv <br />Addn�ss <br />Phone_ �3�-0130 <br />�ESCRIPTION: <br />Lot Block <br />Plat _ <br />Unplatco� Description 18-28-4 <br />Type Permit: New Connection <br />CHART NO. <br />�'as�� <br />�'V��. <br />i�-�3-8�t <br />Utility Account No._ <br />Permit Fee 30.J0 <br />Connection Charge�s)_ <br />Tutal Fee 30.00 <br />�rdinance �715-80 <br />Araa II <br />16034-1 <br />17,647.75 <br />8311.21 <br />Signed <br />_ , � �_.�—� , <br />Customer <br />SEE SKETCH ATTP.CHED <br />!NSPECTION <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Bond III <br />Metered <br />8030.00 <br />9617.75 <br />Abutting Lot Line <br />N;�r' �. W 1825 ft. <br />Approved <br />Issued B <br />A. P.. Theal <br />Cily Engineer <br />E. Dond <br />� <br />c <br />Inspection By �� '�� �%ti� �-° <br />Date Inspected_ �' �l� �' <br />N0. Z4G9U <br />