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everett <br />i <br />� <br />City of Everett <br />Sewer Appli�cation and Permit <br />CHART NO. <br />, <br />,,, <br />. ,��� <br />.�_� <br />,_ <br />�_� . �-'! ' . <br />N0. 2�}744 DATE 1/30/84 �_ <br />�6337-5 <br />Service Address 7031 Lower Imldqe Raad Utility Account No. <br />Billing Address 5307 139th Avenie S.E. Permit Fee 30.00 <br />City, State, Zip s°°h°°�i6h, taa. 98290 Connection Charge(s) �20.00 <br />D. G. IIrandvold 30.00 <br />Owner (Mortgagor) Total Fee <br />Billing Name S�e <br />Connection <br />568-9342 <br />Pho <br />DESCRIPTION: <br />Lot 1 0£ s�i a9 glock <br />Plat t3eaer]y Acreaae Tracts <br />Unplatted Description <br />Tvpe Permit: New Cbxmection <br />Signed <br />Customer <br />Ho�nd I <br />Sewer District <br />Monthly Sewer Service 6.50 <br />_ Monthly Sewer Constr. <br />— Trunk <br />Lateral <br />Abutting Lot Line <br />N. S. E, W_ ft <br />SEE SKETCH ATTACHED <br />„� -, ' <br />: <br />�.z:, � <br />�� f <br />r;�!:t iY . ��ei <br />Approved By �' R. Theal <br />Ciry Engineer <br />Issued Bv E• BOad <br />, , . <br />Inspection By � � ? ��� � ��=�-- <br />` =%`�/��� `�, <br />Date Inspected �" — <br />rvo. 24744 <br />�Y`y` <br />INSPECTION <br />��f� ��, �: <br />