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everett <br />eBUILDING R <br />City of Everett <br />CHART <br />Sewer Application and Permit <br />NO. 24094 DATE 10/30/81 <br />1720 75th Street <br />Service Address _ Utility Account No._ <br />Billing Address Permit Fee <br />9725 S.E. 36th street 90.00 <br />14972-4 <br />Mercer Island, Wa. 98040 1034.00 <br />City, State, Zip _ Connection Charge(s) <br />O'Donnell Brigham c Partners 90.00 <br />Owner (Mortgagor) ___ Total Fee <br />Billing Name Same ordinance 715-80 <br />Paid 8/14/01 Receipt t55452 <br />Connection By Tri-State Construction, Inc. <br />Address Bellevue, Washington 98004 Signed <br />customer <br />Phone 455-2570 <br />DESCRIPTION: Sewer District Bond III <br />Lot Block Metered <br />Plat Monthly Sewer Service <br />Unplatted Description E S of the SWk of NE4 and Monthly Sewer Constr. <br />WS of SE4 of taE4 i ptn of E S of SEb lying <br />Trunk 4.40 1034.00 <br />ype Permi <br />New Connection and 6 Catch Basins Lateral <br />Remarks: <br />Abutting Lot Line <br />N S E W 235 <br />SEE SKETCH ATTACHED <br />INSPECTION <br />R.A. Theal <br />Approved By <br />City Engineer <br />S. Bond <br />Issued By <br />'I <br />Inspection By <br />Date Inspected Z 3 4 Z� <br />No. 24094 <br />J <br />I <br />