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W <br />City of Evcrett <br />Sewer Application and Permit <br />N0. 24678 DATE 11/28/03 <br />Service Address_ 2602 Slat Place S.E. <br />P.0. Box 1051 <br />Billing Address <br />Everett, We. 98206 <br />City, State, Zip — <br />a J'e 8nildere <br />Owner (Mortgagor] y -- <br />Billing 'Jame_ <br />Comiection By <br />259-7070 <br />DESCRIPTION: <br />Lot 31 Block <br />Plat valley view III <br />Unplatted Description <br />Type Permit: New Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART NO <br />Utility Account No. <br />76299-7 <br />Permit Fee_ 30.00 _ <br />Connection Charge(s) 270.00 <br />Total Fee 30.00 <br />Ordinance 1722-80 <br />nesa 2 339.00 <br />i <br />Signed -- <br />Sewer District — <br />6.SO <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />270.00 <br />INSPECTION <br />4butting Lot Line <br />N, S, E, W. <br />Approved By A R 1Rua1 <br />Cny Engineer <br />E. 9ond <br />Issued By <br />Inspecticn By"'n4L le, <br />Date Inspected—/ `7- 8y <br />No. 24678 <br />