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CHART NO. <br /> everett 1 <br /> 4e <br /> City of Everett <br /> Sewer Application and Permit <br /> . „� 3 <br /> �— , 1981 <br /> No. 23942 DATE <br /> 108 77th Place S.M. 76056-1 __ <br /> Service Address Utility Accoum No. <br /> 10.00 <br /> P.O. Box 419 <br /> Permit fee _ — <br /> Billing Address_ <br /> Kirkland, Va. 98033110.00 <br /> City, State, Zip Connection Charge(s) <br /> Sherstad i Williams , Inc. 30.00 <br /> Owner (Mortgagor) Total Fee <br /> Ordinance 0 669-60 <br /> Sacro Area I 221.00 <br /> Billing Name <br /> Same <br /> Connection By ----- <br /> Address----- <br /> ---Address —_ Signed <br /> Customer <br /> 627-6494 _ _ <br /> Phone -- 6 Bond I <br /> DESCRIPTION: Sewer District <br /> Block 5.10 <br /> Lot Monthly Sewer Service <br /> Plat Cedar Ridge Satates <br /> Unplatted Description Monthly Sewer Const.. <br /> 0.20 110.00 <br /> Trunk <br /> Type Permit: new Connection <br /> Lateral <br /> Remarks: —_ Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By A• A. Thaal <br /> I. Ci1V Enginrrr <br /> E. Bond <br /> — ---- Issued By <br /> Inspection By <br /> Date Inspected `�— uN A l <br /> SEE SKETCH ATTACHED No. 23942 <br /> INSPECTION <br />