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, everett <br />�e <br />I City of Everett <br />Sew�r Applicatior� anc� Permit <br />pe,senb�r Y9, 19B] <br />No. 24684 DATE <br />230 95t1� Pleea B.L_ _ _-- <br />Service Address_ --- <br />Billing Address. 1��9 Broa�lwY - <br />T.t�rattr Nuhington 98�01 . <br />City, State, ZiP_-------' - <br />pwner (Mortgagor�����j��`-- <br />Billing Naine___ <br />Connection By— <br />Address_ <br />252-1Y66 <br />UESCRIPTION: <br />Lot 4 _ 81ock_- <br />Plat Sunridg�_DS�. I __--- <br />Unplatted Description__----- <br />Type Permit_ ttw O�nn�ction -- <br />Remarks: <br />CHAR i NO. ---- - - '—' <br />�� "� � � <br />., <br />�� J.; <br />Utility Accoun[ No. <br />7630�-5 <br />30.0(� __ <br />Permit Fee --- <br />7l0.00 _�__- <br />Connection Chargelsl.— <br />�0.00 <br />Total Fee__—_---- <br />Signed_ <br />- ppiF� ZII <br />Sewer District ---------� <br />6.SC <br />Monthly Sewer Service <br />_________ Monthly Sewer Constr. <br />3D0.00 <br />Trunk__ <br />---�— � Lateral _------' <br />�— <br />--- <br />--- " <br />SEE SKETCH ATTACHED <br />N <br />Abutting Lot Line it. <br />N, S� E. W------- -- - <br />qpproved By A• R• �°�l <br />C�tY Enginex <br />e. eoad <br />Issued 8y—.------ <br />W`-PFCTIt_d� <br />��j_���,i,���_�I�._z�` _ <br />Inspection By <br />� ��A� 1?�_ . �' <br />Date Inspected -�- - ,-- - —' <br />No. 24684 <br />� <br />�: <br />�� <br />y� <br />�� <br />'� E� <br />-c"e <br />c� i, <br />� <br />�� <br />C' : <br />C� <br />( <br />.� <br />,� <br />O <br />�. <br />E*: <br />� <br />