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evereft <br />� Huildin4 12 <br />City of Everett <br />Sewer Application and Permit <br />rvo. 24098 <br />Service <br />Oatobez 30, 1981 <br />DATE <br />1320 75th STREET S.W <br />BillingAddress 97�5 S.H. 36th Stroet <br />CHART NO. <br />Utility Account No. <br />Permit Fee <br />, ,., <br />,� , <br />1�968-1 <br />80,00 � , <br />Norcas Island, Na. 90040 ���ae 1936.00 <br />City, State, Zip Connection Charge�s) <br />'Donnell Briqhem � Partn�ra z�a�Y�� 80.00 <br />Owner (Mortgagor� _ Total Fee ____ <br />Sama Urdinanco R715-80 <br />Billing Name Paid 0/14/f11 Recoipt f55656 <br />Connection By Tri State Conatruction Co. Inc. <br />ve ri u��S:— <br />Address H�lUvuo, Ns. 98004 Signed <br />Phone_ �55-4570 <br />DESCRIPTION: Sewer District__ gond IIT <br />Lot Block Nat�red <br />Plat ptn G� of SW�i of NE� aad WS of 6E�on[hlySewerService <br />Unpla[tedDescription of N8} i ptn ot E�i of SE4 MonthlySewerConstr. <br />lying Southarly o! •xiatinq Itnul aoad 4.40 1936.00 <br />Trunk <br />Type Permit: Nav Connection and 5 catch baaine <br />SEE SKETCH ATTACHED <br />INSPECTfON <br />Lateral <br />Abutting Lo[ Line 440 <br />� N, S, E, W <br />4pproved By A. R. Theal <br />City Ei�gmccr <br />E. 8ond <br />ssued Bv <br />7'� <br />nspection �y__�_L��%� <br />)ate Inspected � � _L�L� <br />No. 24098 <br />1 <br />i <br />J <br />