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eD <br />City of Everett <br />Sewer Application and Permit <br />NO 23744 DATE 9110/no <br />qzcl <br />854' PC- <br />Service Address 8515 §tit -Avenue- West- <br />Billing Address 055 106th Avenue N.E. <br />City, State, Zip Bellevue, We. 98009 <br />Owner (Mortgagor( 921 Associates <br />Billing Name 821 Associates <br />Same <br />Connection By -- <br />Address <br />Phnna 453-5454 <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description 13-29-4 <br />Type Permit. Now Connections <br />HART NO. C Q-2-8-Y <br />nasr[M 63 -20-81 <br />14781-9 <br />Utility Account No. <br />Permit Fee 390.00 <br />5,323.63 <br />Connection Charge(s) _ <br />390.00 <br />Total Fee <br />ordinance 9 669-90 <br />South end Intorceptor 36,720.00 <br />Signrc Fhack 6060370 <br />INSPECTION <br />16 Bond III <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />7t1t10>s <br />Trunk <br />Metered <br />EM1 ZZ 39.63 <br />Abutting Lot Line 1321 <br />N, S, E, W <br />Approved By B • Warren <br />City Engineer <br />E. Bond <br />Issued <br />Inspection B / �` <br />Da nspected�� 7�- O V <br />No. 23744 <br />