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eD <br />City of Everett <br />Sewer Application and Permit <br />No. 24765 DATE 2/27/04 <br />Service Address- 2406 81st Place O.E. <br />Billing Address P.O. Bel[ 1051 <br />City, State, Zip E"r*tt, Wa. 98206 <br />Owner (Mortgagor) Jay's Buildars <br />Billing Name gaY'o Builders <br />Connection <br />Phone 259-7070 <br />DESCRIPTION: <br />Lot 13 Block <br />Plat _ VA11w view 811 <br />Unplatted Description <br />Type Permit. Nov Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />Utility Account No. 76342-5 <br />Permit Fee 30.00 <br />Connection Charge(s) 270.00- <br />Total Fee <br />30.00 <br />Ordinance 722-80 <br />Area 11 339.00 <br />Signed <br />Customer <br />INSPECTION <br />Sewer District Bond 11 <br />Monthly Sewer Service 6.50 <br />Monthly Sewer Consti <br />270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By A. R. Thoal <br />Gry E.9mcer <br />Issued BY----E. Bond <br />�je4tdp�..�— <br />Inspection By <br />Date Inspected j3 `eY <br />No. 24765 <br />