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W <br />City of Everett <br />Sewer Application and Permit <br />No. 26719 <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />January 28, 1968 <br />DATE <br />Dr. <br />tM 10902 3rd MW Sr <br />1914 W 34 1107 <br />a Seattle, VA 98103 <br />Owner (Mortgagor) <br />Geonerco Inc. <br />Billing Name <br />Sena <br />Connection <br />Address <br />547-8213 <br />DESCRIPTION <br />Lot 30 Block - <br />Plat Rwln cedars <br />Unplatted Description <br />Type Permit: New Connection <br />Remarks: <br />IMPORTANT! <br />CALL 1-800424.5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART <br />�+j/"n Clan% .� 7-1 Z— 86 <br />Utility Account No <br />02/I6i80 3e4:Ph 1A30049176 tt'kt <br />/ <br />00002651? <br />L41DII I 1395.00 <br />Permit Fee 30.00 <br />Connection Charge(s) <br />30.00 <br />Total Fee_ <br />— <br />Devslopsent fees, Ord. 1171-851 <br />rater <br />179.00 <br />sever <br />Signed <br />471.00 <br />6—SO A <br />� " � A �" �! <br />Customer <br />Sewer District_ Dond III — <br />Monthly Sewer Service 3.31P11 WATOiit9i7S ki-1'4 <br />D?� 16/00 <br />Monthly Sewer Constr. / <br />1i00019484 <br />trunk_ htlu> t42'3.W <br />PLBG 845.00 <br />Lateral 0 <br />1 <br />1:11 <br />$54.IN1 <br />I `N CN W.10 <br />Abutting Lot LineV %,Ui ¢;'W <br />N, S, E, 1VE SPCH i15.00 ft. <br />21 <br />8W(W';i2 <br />WATU $110.00 <br />9000J'6519 <br />Approved By_ Aik*D it. r <br />fibft <br />r ., Bdgineer, <br />Issued Ry <br />14 LV 4 L.47'. Ili <br />Margaret 8 HoLwd <br />Inspecticn <br />Date I <br />INSPECTION <br />No. 26519 <br />