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,�----- N �' �- <br />e� verett <br />I� <br />�ity of Everett <br />Sewer Applicatic�n, and Permit <br />No. 24054 <br />Service Address_ <br />Billing Address_ <br />City, State, Z�P— <br />pwner (Mortgagor) <br />Billing Name_ <br />Connect�on BY__ <br />'�`/19'/sl <br />DAfE — <br />1818 Leland Driva <br />15315 99th Avenuu S.E. <br />Snohomieh, Ha. 98290 <br />OZV PRtti'DOA6 <br />Sane <br />Same <br />568-�6486 <br />Phone <br />DESCRIPTION: 4 <br />Ptn. 5 Block <br />Lot _— <br />Hevex�ly Park <br />Plat <br />Unolatted Description��— <br />' -- ------.�.... <br />c� 1 . ° _. _ <br />CHART N0. <br />`i-�- i- t� <br />�. �, 1 <br />� � <br />C��� <br />Utility Account No. <br />30.00 <br />_ Permit Fee <br />720.00 <br />Connection Chargels) --- <br />- ao.00 <br />Total Fee <br />Oxdinance f669-8U 500.00 <br />— Area i4 <br />S�9�e�%— Customer <br />Sond II <br />Sewer Distncc�� <br />5.10 <br />Monthly Sewer Service_ <br />Monthly Sewer Con,tr. <br />1.15 <br />Trunk�� <br />2.35 <br />SEE�KETCH ATTACHED <br />�but[ing Lot Line <br />N�S,E�W <br />270.00 <br />450.00 <br />A, R. Theal <br />approved gY ���� r.��ineer <br />g, Bond <br />Issued BY.�----- <br />INSPECTION <br />Inspection By ' � <br />�2"-`-'—� <br />SI-pT 19bf <br />Date Inspected�---�— <br />rvo. 2405� <br />