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eveirett <br />eBUILDING 9 <br />City of Everett <br />Sewer Application and Permit <br />No. 24095 <br />Service Address <br />Billing Address <br />City, State, Zip <br />DATE <br />10/ 29/81 <br />1620 75th Street S.W. <br />CHART <br />Utility Account No. — <br />Permit Fee 60.00 <br />14971-6 <br />Connection Charge(s) 1364.00 <br />O'Donnell Brigham i Part or 60.00 <br />Owner (Mortgagor) sTotal Fee <br />Billing Name Saes Ordinance 715-00 <br />Paid 8/14/91 Receipt #554S3 <br />Connection By Tri-State Construction Co. Inc. <br />t Avenue M.E. <br />Address — Bellevue, We. 98004 Sioned_ <br />9725 S.B. 36th Street <br />Mercer Island, we. 98040 <br />Phone 455-2570 <br />DESCRIPTION: Sewer District <br />Lot Block Monthly Sewer Service. <br />Plat ES of the SNir of NE4 and W�j of Sr4 <br />Unpplatted Description o a p of E � of Monthly Sewer Constr. <br />S8% lying Southerly of Existing Maul Road <br />Type Permit: Now Connection and 3 Catch Basins <br />SEE SKETCH ATTACHFD <br />INSPECTION <br />Trunk <br />4.40 <br />Boid III <br />Metered <br />1364.00 <br />Abutting Lot Line <br />N, S. E, W 310 ft. <br />A. R. Theal <br />Approved By <br />City Engineer <br />E. Dond <br />Issued By <br />Inspection By <br />Datelnspected z' 3'g7 i <br />No. 24095 <br />I <br />J <br />