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ieverett <br />City of Everett <br />Sewer Application and Permit <br />No. 23814 DATE 11-13-e0 <br />814 91st Place S.E. <br />Service Address____ <br />8617 8th Avenue Weut <br />Billing Address___ __ <br />City, State, Zip_Everett, We. 98204 <br />_ <br />Owner (Mortgagor) Wayne Ake\R Akan& <br />Billing Name Wayne Akana <br />O'Connor i Oehler <br />Connection By <br />9210 Evergreen Way <br />Arlrirpcc <br />Phone_ 353-7700 <br />DESCRIPTION: <br />Lot Block — <br />--- <br />Plat Mountain View !4 <br />Unplatted Description <br />Type Permit: New Connection <br />SEE SKETCH ATTACHED <br />CHART N <br />krzi-c-p 1-12-80 <br />Utility Account No. 76021-5 <br />Permit Fee 30.00 <br />Connection Charge(s) l02.50 <br />30.00 <br />Total Fee <br />ordinance 1714-80 <br />Area 2 263.00 <br />Signed /� ..�1/ c. t__,t ,J <br />Cusmmer <br />INSPECTION <br />35 Bond III <br />Sewer District <br />Monthly Sewer Service 5.10 <br />Monthly Sewer Constr. <br />Trunk 2.25 302.50 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W tt. <br />B. Approved By Boushey <br />City Engineer <br />E. Bond <br />Issued By <br />Inspection By <br />Date Inspected" <br />r ^ No. 21814 <br />L� <br />