|
_-- � . - -- - _. _ _. - - - - - - - - -._-
<br /> everett - � C��ART NO
<br /> � TO POSTING �'. �� ' : ,
<br /> � . �l
<br /> , „ ; ��
<br /> ���i� � �1^'� 4'Is�T �j,�1i�/ { i� .1.
<br /> . � � l IY� �� ���Yy��� l �� � �S .
<br /> , ;,,� �;�{r,
<br /> , , ,
<br /> ''� ��� , „ �A �� ti .a
<br /> , ��Y�t Y J
<br /> Z O 000 If7001f10 ' 1Ir� � '7 [+�r VI�i;7-��K��� •
<br /> �
<br /> City of Everett � � . . . . . . . ;I '� , �
<br /> -� � !Q � c`�S3f�S� " i ' ' `�' J�
<br /> ;. !' ,�. s ,,,,. . ` ' �y�';f.��, 1f,4���:�. .
<br /> ■ . d� w • it� :w � . t I � � 'T i�' �
<br /> Sewer Applicatio� �, F�� it . ,,; , , : } rk� ;., �,�t, {.
<br /> o � �ffi ."'�. �5��� ,� �' r '� �U '�;�:�
<br /> � m �•: � � �.i� ���� �.� i� j� �' �..: .
<br /> NO, Z848Z DA7� oot. 21, is91 ' 4�!,� :' :� . . t.,,�i,.a> :
<br /> .. . .. � a r� i '� � �: r� �' �j' ������ .,� �'
<br /> Service Address 5731 ol�arood A� Utility Acxount No. �� �� � ,�, :"�'���"�'"
<br /> ,
<br /> BillingAddress �Rnnn w» r.r.�c-elri i ��.: •` , .: . �;�F'�,� �'{{�:�t � ����ff �,�7`f.
<br /> . , . . . �t �.�� ,�� iCvFtl�Ut�4 � �k��.
<br /> c�ry, s�e�e,z�P ��� '.,..� ra oan�2 Pemtit Fee , a �� ,,d �O.00w„��)t� :«s
<br /> Roa xiohol..: . . . � !��i,:c.•� � ,, .!;y , r+4 c
<br /> Owner Connectlon Charge t, ; r=�i r����.i}�r � y �?,f:
<br /> Connection by Ora�s Trunk . . ,. s 1�°330.00 � ;t .j ri-, ;
<br /> � . � . � ..�. ' � a` . �• i�� �.�d.�.
<br /> Address . Laterai j '� �fS.00 ' ti�j��.��
<br /> ,
<br /> . . , , . .. r �,�.�� i:.:t , .-,.�• f ;:
<br /> �
<br /> Total Connection Charge S � �2'j-ee ` • �"� �•� °�'
<br /> Phone 337-6611 ,( Z r �?� �a�� �i',���1,'�t.;
<br /> Utiliry Development Fee �., . ` i y, 1 �,;,:
<br /> LegalDescriptfon: Water ' '$i r�261.00 � `� �;'-"' � ,
<br /> :� p � � ..����F� 1i�rv `''.i
<br /> Lot -- 3 ahart y�lie lzez-zz-no Sewer ; ' itt 00 ..
<br /> Bicck Total Development Fee . S' I�A�l•� ' � • �'�;j�;` L;;���
<br /> ,
<br /> Plat � ` ,• �,� ;' .�di .':'
<br /> , , � �, ;�,:,�'!,t ';:
<br /> ;b;
<br /> Unplatted Descripqon: Sewer Bond District �IZ '` �^I �'#"'
<br /> ':� _ . I ; '11�� . � L�.� L 1� A �I
<br /> Abutting Lot Line " Z� ` �� �''
<br /> �' ,�� ��� 6'�`a !
<br /> ' � : � � 3F� �',� .. •� V , I�t> �+ �r ,�,.,.
<br /> N, S, E, w . K�.� �� r,, � �� � �,n: .
<br /> , . . .. ���I;`. �� �. �il�����-ii:;
<br /> Type of Permit tNv aoon�oEion Approved By '
<br /> Remarks ,!?�� 9iap���;;
<br /> Issued BY—g���� ��' � Pt..
<br /> ;. .,:.f;::; .'::�����`�:
<br /> , CustomerSignature ' '" � -
<br /> � , �� �ti 's�«r�
<br /> IMPORTANT! �; ,` �:', �; ° M '�. �
<br /> rF� . � i �'.., I',�',
<br /> CALL 1-800-424-5555 48-HOURS � ' a �'���
<br /> � t ,
<br /> PRIOR TO DIGGING �� , ' i ��� ��;��u��t4, ��7
<br /> CALL 259-8810 FOR INSPECTION 'Inspectfon By �' t'�"�'�'�'
<br /> Datelnspected . '�I�''�,����':�'"��
<br /> �, ���. ',i � ',1
<br /> ,__,.. .' ° '�:�''; ��,�.
<br /> SEE SKETCH ATTACHED NO. ZS4HZ �f�'� ,,�'��
<br /> � �
<br /> INSPGCTION , , .:,. � ., ..<.
<br />
|