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ev�rett � <br />� <br />City of Everett <br />Sewrer Application and Permit <br />� <br />� <br />CHART N <br />,�oST�D �{'9-S( <br />No. Z3865 DATE <br />�i9i8� � <br />/oyo2 4�' DK� �c <br />Service Address Ye��^ Utility Account No. �6036-3 <br />P.O. Box 419 30.00 <br />Permit Fee <br />Billing Address <br />Itirklund, kta. 98033 <br />City, State, Zip_ <br />Shurstad a Slilliame, Inc. <br />Owner (Mortgagor) <br />S§erstad & S9illiame, Inc. <br />Billing Name <br />SdflC <br />Connection By <br />827-0494 <br />Phone <br />DESCRIPTION: <br />Lot -5 � Block <br />Fir-Ever <br />Plat <br />Unplatted Description <br />� ..__�... wnv CnnnectiOn <br />330.00 <br />Connection Charge(s) <br />30.00 <br />Total Fee_ <br />Ordinance 8722-80 <br />Area €2 339.00 <br />$igned <br />Sewer District_ <br />Monthly Sewer <br />36 Bond III <br />5.10 <br />Monthly Sewer Constr. <br />1.15 330.00 <br />SEE SKETCH ATTACHED <br />� <br />WSPFCTIUId <br />4butting Lot Line <br />N, S, E, W <br />!1. ooushey <br />Approved BY City Engincer <br />E. Bond <br />I ssued <br />�� <br />� � �� lI'lv'�-- - -- <br />Inspection 4, <br />Datelnspe^ted.�/� � S — o � <br />No. 23865 <br />�-- • <br />