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ki <br />City of Ever' <br />Sever Application and Permit <br />IVO. 24666 DATE 11/9/03 <br />Service Address <br />615 80th Street B.W. <br />Billing Address <br />P.o. Box 1521 <br />City, State, Zip <br />Bellevue, We. 98009 <br />Owner (Mortgagor) <br />Garco Neetern <br />Billing Name (cliQ r�-"M'Cf <br />Connection By <br />Phone_ S8 _ 451.90l <br />DESCRIFTION: <br />Lot 5-6 _ Block <br />Plat narda ^— T auntri-t _Dark — <br />Unplatted Description — _ <br />Type Permit: Now Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART <br />,i <br />r (� <br />Y�(� <br />Utility Account Nu. 16032-5 <br />Permit Fee 30.00 <br />Connection Charge(s) 3.931.60 <br />Total Fee 30.00 <br />Ordinance 1715-60 <br />Area 4 148.80 <br />Signed <br />custavcer <br />Sewer District Boyd III <br />Monthly Sewer Se vice Hater" <br />Monthly Sewer Constr. <br />INSPECTION <br />1931.60 <br />Later <br />Abutting Lot Line 439 <br />N, S(t) W <br />A. R. 11tea1 <br />Approved By — <br />CitV Enqne.t <br />a. Bond <br />Issued By -- -- <br />Inspection By <br />Date Inspected 7i <br />NO. 24666 <br />