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W <br />City of Everett <br />Sewer Application and Permit <br />N0. 24766 DATE Service Address <br />2130 Slat Place S.C. <br />-- <br />Billing Address P.O. Box 1051 <br />Citv, State, Zip Everett, Washington 98206 <br />Jay's Builders <br />Owner (A'ortgagor)— <br />Billing name <br />Connection <br />259-7070 <br />DESCRIPTION: <br />Lot, 16 Block <br />Plat Valley View #1I <br />Unplatted Description <br />Type Permit: Now Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />Utility Account No.76343 I <br />Permit Fee 30.00 <br />Connection Charges) 270.00 <br />Total Fee 30.00 <br />Ordinance #722-BO <br />Area 2 <br />339.00 <br />Signed_ cu: omer <br />Sewer D <br />Monthly Sewer Service f `0 <br />Monthly Sewer Constr. <br />INSPECTION <br />Trunk 270.00 <br />Abutting Lot Line <br />N,S,E.W. <br />A. R. Theal <br />Approved By <br />C EnE�q,.,m <br />B. Bond <br />Issued <br />Inspection By — <br />Date Inspected <br />No. 24766 <br />z <br />0 <br />--I <br />r) <br />rn <br />