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everetl <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 24049 <br />DATE 8/5/81 <br />Service Address 5631 highway Place <br />Billing Address <br />5731 3.53rd Place S.W. <br />Fdmonds, Wa. 98020 <br />City, State, Zip <br />Owner (Mortgagor) RAN Enterprises <br />Billing Name Sane _ <br />Connection By Sane <br />743-5891 <br />Phone <br />DESCRIPTION: 1 <br />Lot l�' Block <br />Plat Beverly hills Div. 4 <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />CHART NO. ; CO- 28 -S <br />Utility Account No. <br />14933-6 <br />Permit Fee <br />30.00 <br />Connection Charge(s) <br />600.00 <br />30.00 <br />Total Fee <br />ordinance g 715-80 <br />Area I <br />2431.00 <br />Signed Customer — <br />Sewer District 9 Bond I <br />Monthly Sewer Service Metered- <br />Monthly Sewer Constr. <br />_ .20 <br />2.10 <br />4butting Lot Line <br />N, S, E. W <br />A. It. ?heal <br />Approved By City Engmem <br />F... Bond <br />Issued By — <br />13.0. 00 <br />490.00 <br />Inspection By r <br />Date Inspected 7 NLIV �3 1 <br />No. 24049 <br />7 <br />INSPECTION <br />