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everett CHART NO. <br />I <br />ity of Everett `t <br />Sewer Application and Permit <br />a . VV04 <br />NO. 2 e rl % <br />DATE <br />Service Address_ <br />1506 Sint Place S.E. <br />Billing Address <br />20809 Dense goad <br />City, State, Zip <br />glderrood Maxtor, we. 98036 <br />Owner (Mortgagor) <br />SenW Construction <br />Billing Name_ <br />Connection By <br />Utility Account No. 76125-0 <br />Permit Fee 30.00 <br />Connection Charge(F) 270.00 <br />Total Fee 30.00 <br />Sever Da"10pe011t Paad Paid at the tine of <br />Recording of ISMrt Plat <br />Signed <br />Phone_ <br />776-0097 clatom r <br />DESCRIPTION: Lot 4 Tract 2S-26 <br />2 Sewer District goad II <br />Lot Block_? <br />Plat _ Beverly Park Monthly Sewer Service 6.50 <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: Ow Connection _ Trunk 270.00 <br />Lateral <br />Remarks: <br />Abutting Lot Line <br />N, S, E, W ft. H <br />r) . <br />Approved B A. R. Theal E <br />y Gt EEnpinen <br />r: <br />—._ E. Bend <br />Issued By <br />C• <br />Inspection By <br />Date Inspected_ IJI�� <br />SEE SKETCH ATTACHED NO. 24717 <br />INSPECTION GAF / I i <br />