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ll <br /> CHART NO._— <br /> evere" <br /> e I t <br /> City of Everett a G 3 <br /> Seaver Application and Permit <br /> No. 24549 DATE 5/25/83 <br /> Service Address 2510 Both Place S.E. _ Utility Account No. 76249-1 <br /> Billing Address <br /> 21X* 2704 120th Permit Fee 30.00 <br /> - <br /> Everett, We. 98204 Connection Char els) 270.00 <br /> City, State, Zip g — <br /> Owner (Mortgagor) Duane Derr] Total Fee 30.00 <br /> Billing Name ordinance 722-80 <br /> Area 2 339.00 <br /> Connection By-------- <br /> Address----.— <br /> y — — <br /> Address Signed <br /> r,„in,ner <br /> Phone 353-6229 <br /> DESCRIPTION: Sewer District,---- <br /> Lot <br /> istrict._Lot +5 Block_— _ Monthly onthly Sewer Service <br /> Plat YiYlX!lYkxlYYl[! liil[iS xx <br /> Unplatted Deszription Valley View 1II Monthly Sewer Constr. <br /> Trunk 270.00 <br /> Type Permit: New Connection_ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E W___ <br /> ft. <br /> Approved By A. R. Theal <br /> City Engineer <br /> E. Bond <br /> Issued By <br /> Inspection By <br /> Date Inspected�l 31Q3 <br /> SEE SKETCH ATTACHED No. 24549 <br /> INSPECTION <br />