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�k <br />■i <br />everec�t^- <br />� <br />City of Everett <br />c <br />Sewer Appiica�ion and Permit <br />No. 2?713 <br />��ST�� 6-3-g! <br />Auqnst 21. 198Q I <br />DATE <br />7706 Lowez Ridqa Road 75993-G <br />Service Address <br />P.O. Box 419 <br />Billing Address <br />Firkland, Wa. 98�33 <br />City, State, Zip — <br />Sheratad & W1113ams <br />Owner (Mortgagor) <br />Snme <br />Billing Name <br />Sam�: <br />Connection By <br />�z�-aasa <br />Phone <br />DESCRIPTION: <br />Lot 32 Block <br />Plat Cedar Ridae Estatas <br />Unplatted Description <br />T,,..o Pa�n,fr• New Cunnectioa <br />Utility Account No. <br />Permit Fee 30.00 _ <br />Connection Charge(s) 107.50 <br />30.OQ <br />Total Fee_ -- <br />Ordinance �669-IIQ <br />Area I 221.00 <br />Signed r� <br />Customer <br />Sewer District 6 Sond I <br />3.D0 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 107.50 0.20 <br />SEESKETCH ATTACHED <br />IWSPLC1IOh <br />Abutting Lot Line <br />N, S, E, W. <br />t3. Wmrren <br />Approved By <br />G�Y Engmccr <br />H. $OLd <br />Issued By — <br />Inspection By ��y , <br />Date Inspectec'--�� SL��_ IJ�O <br />No. 23713 <br />