Laserfiche WebLink
CHART N0. <br /> everett � <br /> b <br /> H <br /> � <br /> Clty of Everott� S 8 <br /> ao <br /> p M M <br /> Sewer l�� li�cation and Permit <br /> � , <br /> N0. f� DATE -s.�.��,-y�-- <br /> ServiCe Addrese ��� -• -•--- Utlliry Axount No. _ <br /> BIIArp Addreaa - + • <br /> Cily,Stete,Zlp �wM� � N�� Pertnit Fee S �p„�_ <br /> Owner , Connection Charpe <br /> Connectbn by Trunk S — <br /> /►ddrses • Laterel S <br /> Totel Connectbn Charpe i <br /> Phone , UtilRy Devebpment Fee <br /> UpN pNcriptlo�: Water i <br /> Lp1 Sewer t <br /> glodc Total Devebpmem Fee t <br /> Plat <br /> Unpl�(Nd patxiptfon: Sewer Bond Dlstrict _ <br /> _ Abuttinp Lot Line <br /> N,S,E,W h• <br /> Typs of Permk Approved By <br /> R�marks r :t 5�•.� o � Issued By <br /> •� w ''�'� ��L CustomerSiqnature ��- _ . .- �-� <br /> IMPORTANT! � <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspectbn By ���e�""`— <br /> CALL 25�8810 FOR INSPECTION ��fo <br /> Date Inapected <br /> SEE SKETCH ATTACHED No. 27952 <br /> INSPECTION <br />