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W <br />City of Everett <br />Sewer Application and Permit <br />9/10/80 <br />No. 23745 cG ,l DATE <br />7609 Lower Ridge Road <br />Service Address - <br />P.O. Box 419 <br />Billing Address <br />Kirkland, Wa. 98033 <br />City, State, Zip <br />Owner (Mortga <br />Billing Name — <br />Connection By. <br />Sherstad & Williams, Inc. <br />Sherstad & Williams, Inc. <br />827-0494 <br />Phone <br />DESCRIPTION: <br />Lot 43 Block <br />Plat Plat of Cedar Ridge Estates <br />Unplatted Description — <br />Type Permit: Now Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO. Z 12-25 �f <br />��fEt% ►1- to -so <br />76005-•B <br />Utility Account No. — <br />Permit Fee 30.00 <br />Connection Charge(s) 107.50 <br />30.00 <br />Total Fee <br />VA Aib <br />Ordinance #669-80 W <br />Area I / 221.00 <br />Signed12I <br />Customer <br />INSPECTION <br />Sewer District _ <br />Monthly Sewer Service — <br />Monthly Sewer Constr. <br />0.20 <br />Abutting Lot Line <br />N, S, E, W <br />Bond I <br />3.80 <br />Approved By H. Warren <br />City Engineer <br />E. Bond <br />Issued By <br />Inspection Bµ� <br />Date Inspected <br />107.50 <br />No. 23745 <br />