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eve�ett � <br />� <br />City cf EvereY` <br />Sev►�er Application and Permit <br />NO. 23�97 Angnst 15, 1980 <br />DATE _ <br />7612 Lorei Ri3ga Road <br />Service Addrass <br />P.O. $OR 419 <br />Billing <br />Kirkland, W� 98033 <br />City, State, Zip <br />Owner (Mortgagor) Sheratad c Willia�ng, inc. <br />Billing Name Sherstad & Williams, Inc. <br />Same <br />Connection By - <br />Phone 827-�i499 <br />DESCRIPTION: <br />Lut 29 _ Block <br />Plat _ Cedar Ridae &atntes <br />Unplatted Description <br />Tvoe Permit: Hew Connactioa <br />CHART NO. R- � �2-�" S <br />Utility Account No. <br />Permit <br />}�c�sT W 9 -30-8� <br />� <br />7598�-2 <br />30.a0 <br />107.50 <br />Connection Charge(s)__.. <br />30.00 <br />Total Fee <br />Ordinance $669-BO <br />Area I 221.00 <br />/ <br />�.�. .� <br />Signed ��-�<> '� % i' ��`-'"_ <br />Cuslomer <br />SEE SKETCH ATTACh1ED <br />INSPECTION <br />6 Bond i <br />Sewer District <br />Monthly Sew;�r Service 3.80 <br />Monthiy Sewer Constr. <br />0.20 107.50 <br />Trunk <br />L�.teral <br />Abutting Lot Line <br />N, S, E, W <br />!i, Warron <br />Approved By <br />City Engineer <br />E. Bond <br />Issued Bv <br />Inspeciio� ��`� <br />Datelnspected �- 2�- � <br />No. 23697 <br />