Laserfiche WebLink
everett <br />e <br />Ciry of Everett <br />CHART NO. <br />TO PO�iIPl� _v�'` �`' z <br />Sewer Application and Permit <br />7�, DATE �Prsl 6, 1992 <br />N0.286 <br />Service Address 6032 Rraoktid`e Blvd _ <br />BIIIing Address 2» �1� $c _ <br />City, State, Zip _ e°aratt WA 98203 <br />Owner �lect Hosae _ <br />ovver �a�.��. F r�.• y <br />Connection by <br />Address - <br />Phone ZSB-1503 <br />Legel Dascription: <br />Lol 8� of Henabrook Dlv. 1 <br />Block <br />Plal <br />Unplatled Descrlptian: <br />Type of Permil nar convrceion <br />Remarks <br />IMPORTANTI <br />CALL 1•800-424-a555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utiiity Account No. <br />Permit Fee $ 8iit ]0.0�_ <br />Connectlon Charge <br />Trunk <br />Lateral <br />Tolal Co�nection Charge <br />Utility Dnvelopment fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond District �ID <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Issued By N Nughes <br />Customer Signature <br />Inspection By _ <br />Date Inspected <br />wsr��cr�oN <br />$ <br />$ <br />$ <br />g 179.00 _ <br />g 4Ti'(10 <br />$ ��ir�_�S� 0�- <br />}J. �YC.yL•. <br />- t - S L <br />No. 28671 <br />n. <br />� <br />