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everett <br />e <br />City af Everett <br />Building II <br />Sewer Application and Permit <br />No. 24097 <br />�o,�o,a� <br />DATE _ <br />CHART <br />ServiceAddress 1420 75th etze�t S.ti. 14969-0 <br />Utiliry Account No. _ <br />Billin Address 9725 B.E. 36th Street B0.00 <br />9 Permit Fee <br />Cit State, Zi K�rc�s Ieland, Ne. 98040 1562.00 <br />Y� P Connection Chargels) <br />O'Donne:l Bsighaa i Paztnere 80.00 <br />Owner (Mortgagor) Total Fee <br />BillingName g�p� Ordinane• 715-80 <br />Paici 10/ld/81 Recelpt I55�55 <br />Connection By Tri Stato Construction Co. Inc. <br />vanu• N,&, <br />Address gell�vus, Na. 9600d Siyned <br />Cus�omer <br />�55-ZS%� <br />DESCRIPTION• Aoad III <br />� Sewer Distnct <br />Lot Blor,k <br />Plat e5 of 3H6 of NEb end NS o! SE�a of DtFti MontlilySewerService_ <br />Unplatted Description 4 ptn of E� of SE4 �i! lying Monthly Sewer Constr. <br />Southerly ot existinq Haul Road 4.dp <br />Type Permit: Nar Connection and Pive Catch Dasine Trunk <br />Remarks: <br />// <br />i <br />SEESKETCH ATTACHED <br />RJtiPECTION <br />Latera <br />Abutting Lot Line <br />' N, S, E� W. <br />Met�zaA <br />355 <br />A. R. Theal. <br />Approvnd By <br />Gry Eng inenr <br />E. DOnd <br />Issued Bv <br />156T.00 <br />Inspection By� <br />Datelnspected i ' � t'z. <br />N0. 2f��9% <br />� <br />1 <br />J <br />