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C�,.4RT N0. <br /> I everett <br /> � <br /> City of Fverett <br /> Sevver �4pplication aRd Permit <br /> N0. 24900 DATE ��20�84 I <br /> �z�3- <br /> S.E. EVerett 2fall Siay <br /> Service Address _ Utility Account No. 16089-5 <br /> Billin Address_ 11000 Lake City Way 3Q,00 <br /> 9 _ Permit Fee <br /> Seattle, Wa. 98125 9476.60 <br /> City, State, Zip Connection Charge(s) <br /> fiarmon And Aesociatea 30.00 <br /> Owner (Mortgagor�. Total Fee <br /> Billing Name _ Ozdinance A384-F33 8'792.00 <br /> Connection By <br /> Address Signed <br /> Cu5lomcr <br /> Phone_ 367-5784 <br /> DESCRIPTICN: IIond iIi <br /> Sewer District <br /> Lot Block Hetcred <br /> Plat Monthly Seiver Service <br /> Unplatted Description 1a-28-5 Monthly Sewer Constr. <br /> i <br /> Type Permit: Nav Connection <br /> — Trunk 4312.00 <br /> ����� Lateral 5169.GO <br /> Remarks: <br /> - Abutting Lot Line - I <br /> N S, E W 9Q0 _f[. <br /> — � � <br /> Approced By �' r• Theal I <br /> Ciry Engin:er � <br /> E. Hond � <br /> Issued By <br /> Inspection Eiy <br /> ! � � <br /> Date lnspected �`� i <br /> SEE SKETCH ATTACHEU NO. ��+9�0 <br /> iNSPECTION I <br />