3112 15TH ST 2016-01-01 MF Import

! CHART NO.__ everett � P�� ! j s -z.� -g �,Z ICity of Everett /�t� �I �JC,�� i 5e�nrer Ap�pliec�tion ��nd Perr�it � No. 24251 DATE ��1J�� — Service Address 3112 h-�-t-D 15th 5troet Utility Account No. — � iiilling Address 1321 177th N .E. Permit Fee 40.00 City, State, Zip �ellevue, wa. 9800t3 Connecrion Charge(s) � 40.00 ' Owner (Mortgagor) COnetruction Connection Total Fee , � Construction Connection Or�inanco &669-00 Billing Name Azea 1 572.00 ' Connection By_ ' Address Signed Customcr i Phone 223-4584 DESCRIPTION: Sewer District � � Lot 31-32 Block 315 MonthlySewerService_ Mntered j Plzt n+..a.�aL � � Monthl Sewer Constr. I Unplatted Description Y i Trur,. Type Permit: poK Connection & Catch I3asin Latzral I Remarks: — Abutting Lot Lir.e tiorthend N, S, E, W ft. Appro�ed By `�' R. Theal City Engineer �, i:. SOrid Issued By — i Inspection By Date Inspected_�� / SEE SKETCH ATTACHED N0. 21�2Ja, , � _ ,,,! �; ,,. , I — I i �_;