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everetl ` <br />e <br />City of Everett <br />Huildinq 13 <br />Sewer Application and Permit <br />CHART <br />. <br />N0. 24099 DATE 30/30/81 � <br />ServiceAddress 1220 75ih 6tzeat S.N. <br />Utility Account No._ <br />Billin Address ���5 S,R. 36th Straat 60.00 <br />9 Permit Fee <br />Cit State, Zi Merccr I�land, pe. 98040 <br />Y. P Connection Charge�s�_ <br />Owner (MortgagorQ' Donnell Brigham 4 Partnare Total Fee 60.00 <br />Seme ordinance 715-80 <br />Billing Name_ 7�eid 0/11/81 <br />Connection By Tzi 8tata Conatructlon Co. Inc. <br />venue�7:�— - <br />Address Bell�vus, Wa. 9800� Siyned <br />c� <br />14967-4 <br />1100,00 <br />Phone a55-2570 <br />DESCRIPTION: Sewer District <br />Lot _ Black <br />Plat otn F.� ef SWk o! NEit and W� o! SE} Monthly Sewer Service_ <br />Unpla[tedDescriptionOF NF.� anA ptn of E� o! 6E�i MonthlySewerConstr. <br />lyin� Southorly of u:sitnq tiaul Road <br />Trunk 4 •'�� <br />TypePermit: NeM Connection and 3 catch breins <br />Lateral <br />Remarks: <br />� <br />SEE SKETCH ATTACHED <br />IIJI�f'f.CIIGN <br />Receipt 455457 <br />Bond III <br />Metar�d <br />1100.00 <br />Abutting Lot Line Z5n <br />, N, S, E, W <br />'� . <br />Approved By �•R. Theal <br />Cily Enginecr <br />F.. Dond <br />Issued Bv_ <br />�)/��i <br />Inspection By_�/.L� / "� ' _ <br />Date Inspected_-'- �"7 � LTZ <br />No. 24Q99 <br />� <br />