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CHART NO. <br /> everett <br /> i6e <br /> City of Everett ro 1 — — C <br /> Sewer Application and Permit <br /> No. 23750 DATE 9/12/80 <br /> Service Address 109 79th Place B.E. Utility Account No. 76007-4 <br /> Billing Address <br /> 4821 180th S.M. Permit Fee 30.00 <br /> Lynnwood, Na. 98036 Connection Char e(s) 107.50 <br /> City,otate, lip. 9 <br /> 70.00 <br /> Owner (Mortgagorl Sky* Neee■ Total Fee <br /> Billing Name Same Ordinance 1669-80 <br /> Area I 221.00 <br /> Connection By <br /> Sore <br /> Address_ Signed r , � / <br /> usto"r <br /> Phone___. _ 745-3661 <br /> DESCRIPTION: Sewer District 6 Bond I <br /> Lot 8 _ Block _ 3.80 <br /> Plat Evergreen Rides <br /> Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 0.20 107.50 <br /> Type Permit: New Connection <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved ByE. Marren <br /> City F.—g.nea <br /> E. Bond <br /> Issued By _ <br /> Inspection,: <br /> Date Inspected FEZ -S-0 <br /> SEE SKETCH ATTACHED No. 23750 <br /> INSPECTION <br />