6225 2ND DR SE 2016-01-01 MF Import

i CHAR7 NO. — i ev+�rett I � _ II �� TO POSTING /o-�-q� I >h .. _ .. .. _ _ " I c�� I City of Everett I y z" Sewer Application arad Permit . ' � H� _ � y"Htl I . �� :� _ . _�. : - � � - �. E7 o Cti � NO Z�9�� DATE �.••.,�-- a i oan � �3 C j O � i ! � �g Service Addres: ��_�;,a_i--� Utiliry Accaunt No. � c�� o r. Billing Address � , t" H� � City,S�dtB,Zip —.;�i:ha]L.r—}171 flaol� - Permit Fee $ 30.00 I gb� �i Owner ��a��-�n , , - Connection Charge � �� Connectic�by �_ — Trunk $ ��^—�-.o�-^ � '� ��' Address Lateral S " � Total Connection Charge $ 110.00 � Phone �-$Qy6 — Utility Developrnent Fee LegalDescriplion: Water S �� Q� � " Lot qp -- Sewer $ e�i n� �� Block — — Totai Development Fee � �s� ^n- '�^ w m I Plat �StlqQ�d Tarrace�,9 • Unplat�ed Oescription: — Sawer Bond Dislrict a_�.ra �-- � 1 � I _ Abutting Lat Line IN,S, E.W ft. �(~) �'� Type of Permit A_____�o t�_ Approved By � Remarks Issued By � � `�I� ___ Customer Signature— I i IMPORTANT! '', 1`��j CALL 1-800•424-5555 48-HOURS � i PRIOR TO DIGGING y' /� , Inspection By �Y"�`�` � � CALL 259-8810 FOR INSPECTION Date Inspected /��- `� �� i SEE SKETCH ATTACHED No. 27969 � � I� �� °� , i ,_ I ;