Laserfiche WebLink
everett " <br />�; <br />S <br />� <br />K <br />City of Everett � "� g 8��� Q� <br />Y ' ;.� ,^i � r-i, �a � <br />�1 �1 � �n e. r�, <br />� A ..� M .� <br />Sewer Applicatior� �id�Pe�r "�i� � <br />:. �s��_,������� <br />����.Ls _, ��.,� � <br />NO. Z79�O DAT� ��y,�� „_ ,oa� <br />Service Address �jg}���D� <br />Billing Address <br />City, State, Zip � <br />OwnBf Sterling Homes NW Inc <br />Connection by <br />Address <br />Phone <br />Legal Descriptlon: <br />Lot <br />Blxk <br />Flat <br />Unplatted Description: <br />Type of Permit _ <br />ar M�wr oon:w <br />aemarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />5EE SF:ETCH ATTACHED <br />Utility Account No. <br />CHART N0. <br />�0'�J � �Dl/Vrs <br />. _ .,,, <br />Perm% FeP $ �,n nn <br />Connection Charge <br />Trunk $ _— •--- <br />Laterai $ — "' <br />TetalConnectlon Chaige $ <br />Utility Development Fee <br />Water $ _ <br />Sewer $ — <br />Total Development Feo $ <br />Sewer Bond Disirict a�c[sra�c semrzcx <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By _ <br />Issued By ��� _ <br />Customer Signature +_ <br />� � <br />Inspection 6� �"�� �— <br />Date Inspect�,d �'�_'�_ �d ___ <br />ir�srrcrioN <br />No. 2790U <br />