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4 <br />City of Everett <br />Sewer Application and Permit <br />No. 24793 DATE 3/16/84 <br />Service Address 2609 Slat Place S.E.__ <br />2704 128th Street S.N. <br />Billing Address <br />Everett, We. 90204 <br />City, State, Zip - <br />Owner (Mortgagor) one Berg --- - <br />Billing Name - <br />Connection By -_- -- <br />Phone 353-6229 ---- — -- <br />DESCRIPTION: <br />Lot 24 Block_ <br />Plat Valley View #1I <br />Unplatted Description <br />Tvne Permit: New Connection <br />Remarks: <br />SEE SKETCH ATTACHED <br />CHART <br />Ps C6 <br />PIO' <br />j _5"-fi4 <br />-- 76359-9 <br />Utility Account No. <br />Permit Fee <br />30.00 <br />Connection Charge(s) 270.00 <br />Total Fee 30'00 <br />ordinance #722-80 <br />Area 2 339.00 <br />Signed <br />Customer <br />INSPECTION <br />Sewer District Sood 11 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />270.00 <br />4butting Lot Line <br />N, S, E, W, <br />Approved By A. R. Theal <br />Cay Engmem <br />Issued By E. Bond <br />Inspection By <br />Date Inspected <br />No. 24793 <br />