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CHART NO. <br /> evere'h <br /> e <br /> �CsT6V 9-29-So <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 23722 DATE August 29, 1980 <br /> Service Address 202 79th Place S.L. Utility Account No. 75997-7 <br /> Billing Address 15316 50th Place Nest Permit Fee 30.00 <br /> City, State, Zip Edmonds, flit. 98020 Connection Charge(s) 107.50 <br /> 30.00 <br /> Owner (Mortgagor) Skye View Some- Total Fee <br /> Billing Name Same ordinance #669-80 <br /> Area #I 221.00 <br /> Connection By Same <br /> i <br /> Address Signed I ~— <br /> Customer <br /> Phone 745-3661 <br /> 6 Bond I <br /> DESCRIPTION: Sewer District <br /> Lot 22 Block 3.80 <br /> Plat Evergreen Ridge Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk 0.20 107.50 <br /> Type Permit: Now Connection <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By It. Warren <br /> City Erpmeer <br /> E. Bond <br /> — _ — Issued By _— <br /> Inspection By—� <br /> Date Inspected <br /> SEE SKETCH ATTACHED N0. 23722 <br /> INSPECTION <br />