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i everett <br />�e� <br />j City of E��erett <br />$�wer Application and Permit <br />NO. 24926 DATE _ <br />10703 lth Avenue S.E. <br />Serv�ce Ac'.dress <br />2704 128th S.fi. <br />Billing Address -- <br />LWrett. Fa. 98204 <br />�ity, State, Zip. <br />Duano Herq <br />pwner (Mortgagorl_ — <br />8illing Name <br />Connection By -- <br />Phone_ 353-G229 <br />DESCRIPTION: <br />5 Block — <br />Lot — — <br />Plat Hest Crcak Div. 1 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />ttev ConnecYion <br />s�, t.�m.bor Zz, 19f3a <br />SEE SKETCH ATTACHED <br />CHART N0. � "�� j �� 'r <br />,. r.. _ . ;c' ,� <br />✓ <br />,� <br />76d10-3 <br />Utility Accow�t No. <br />30.U0 <br />Permit Fee <br />330.00 <br />Connection Charqe�s) <br />30.00 <br />Total Fee <br />ordinance tl98�-8� 800.00 <br />Signed Cuslomcr <br />Hond III <br />$eWf( UISlfICi — <br />6.50 <br />A�onthly Sewer Service_ -- <br />Monthly Sewer :,onstr. <br />330.00 <br />Trunk <br />La�eral — <br />Abut[ing Lot Line <br />N,S,E,W <br />Appro�ed By �• R• Theal <br />CitV Engineer <br />E. Eon� <br />Issued By - <br />fNSP[C11GN <br />N <br />C, �� , II <br />Inspection By i <br />Datelnspected_[(= �`���� I <br />No. 24926 � <br />R <br />z <br />a <br />� <br />� <br />m <br />� T <br />.-� --i <br />�n z <br />m <br />co <br />mo <br />-� c <br />om <br />-i z <br />m� <br />oz <br />c <br />a -� <br />rx <br />=� in <br />� <br />T <br />�a <br />•i IT <br />x <br />m— <br />� <br />om <br />c tn <br />3 �^ <br />m <br />z �� <br />-, r <br />• m <br />a <br />A <br />