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evereri <br />�� <br />C����C��� <br />JAN 12 1982 <br />City of Everett CITY OF EVERETT <br />Public Works Dept, <br />Se�er i4pplication anr� Permit <br />]/11/EZ <br />� <br />No. 24141 DATE __� <br />I' 7510 A& TJ 7th Erie�� West <br />Service Address <br />826 S.E. Everett lisll Ray <br />i Billing Address <br />� Everett, 47a. 98204 <br />, City, State, Zip_� . <br />iiillis LTomes <br />� Owner 4Mortgagor) <br />Siillis 1Iames <br />Eilling Name <br />' 5ame <br />Conne�r.vn By -- <br />I <br />IAddress <br />Phone 355-4492 <br />� <br />DESCRIPTION: <br />� Lot 1 Block <br />� Plat Veraleae F.atates <br />! Unplatted Description <br />� <br />I --- <br />�. Tvne Permit: Aew ConnQction <br />CHART <br />14995-9 <br />Utility Account No. <br />30.00 <br />Permit Fee -- <br />4G2.00 <br />Connectior Charge�s) - <br />30.00 <br />Total Fee <br />Ordinance GG9-80 <br />ArQa 4 (Lift Station) II50.00 <br />� ,/ <br />,' , . <br />Signed ' /� <br />. � Customer <br />Bond III <br />Sewer District_ <br />Monthly Sewer Service_. <br />Monthly Sewer Constr. <br />3.15w <br />Trunk_ __ <br />Lateral <br />� <br />SEE SKF.TCH ATTACHED <br />WSPECTIOiJ <br />Mat�red <br />At�utting Lot Line 105 <br />N,S,E,W <br />Appraved By '�' R• Thcal <br />City Enoinecr <br />£.� l301.id <br />Issued By - <br />4G2.00 <br />.� .. <br />Inspection By.�� <��� `'"�� ""��-� <br />Dateinspected_ �' ���'"-�' �-� <br />No. 2$141 <br />� (, <br />�-'v_1�L� �..., „ � <br />p <br />