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Eeverett <br />City of Everett <br />Sewer Application and Permit <br />No. 24685 <br />DATE NO"W7 er 29, 1993 <br />Service Address 2510 Blot Place S.E. <br />22424 49th S.E. <br />Billing Address_ <br />City, State, Zip <br />Bothell, Xa. 90021 <br />- <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Phone 491-0899 <br />DESCRIPTION: <br />Lot 18 Block <br />Plat Valley Vier 91 <br />Unplatted Description <br />Type Permit: lien Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART <br />Utility Account No. <br />76305-2 <br />Permit Fee 30.00 <br />Connection Charge(s) <br />270.00 <br />Total Fee 30,00 <br />O1DS61>1= ! 722-80 <br />Area 2 339.00 <br />Signed customer <br />INSPEC110N <br />Sewer District Bond I1 <br />Monthly Sewer Service 6*-5 <br />Mcnchly Sewer Constr. <br />Trunk 270.00 <br />Abutting Lot Line <br />N,S,E,W <br />Approved By A. R. Theal <br />City Engineer <br />Issued By E. pond — <br />Inspection B <br />Date Inspected_ '3' <br />No. 24685 <br />