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as <br />�1■ <br />D <br />City of Everett <br />Sewer Application and Permit <br />NO. 24634 DATE <br />Service Address 2422 Slat Place S.H. <br />Billing Address P.O. A:. 1051 <br />City, State, Zip Everett, We. 99206 <br />Owner (Mcrtgagor)J.C. Sella <br />Billing Name <br />Connection <br />P ddress_ <br />259-7070 <br />DESCRIPTION: <br />Lot 15 Block___ <br />Plat Valley View II <br />Unplatted Description_ <br />Type Permit: New Connection <br />Remarks: <br />r <br />SEE SKETCH ATTACHED <br />10/3/83 <br />CHART NO. <br />Utility Account No. — 76283-1 <br />Permit Fee 30.00 <br />Connection Charge(s) 170.00 <br />Total Fee 20.00 <br />Ordinance 1722-90 <br />Area 2 ( 339.00 <br />Signed <br />� cu,mmcr <br />r <br />INSPECTION <br />Sewer District Boad II <br />Monthly Sewer Service 6.50 <br />Mcnthly Sewer Constr. <br />Trunk 270.00 <br />Lateral <br />Abutting Lot Line <br />N, S, F_, W <br />Approved By A. R. Them <br />Coy Engmcer <br />Issued Bv_. L. Bond <br />t <br />Inspection By <br />Date Inspected <br />NO. 24634 <br />—,es <br />