Laserfiche WebLink
��5 <br />A�� <br />O H <br />�HN <br />H�� <br />K � <br />�a�ti°c <br />Hy <br />x <br />a�d <br />��g <br />7.M�H <br />�yH <br />o r� t�i+ <br />��� <br />� <br />everett <br />e <br />City oi Evereri <br />Sewer Appl <br />CHART NO. --- <br />� <br />r'�..,/ � , ,7... �,. i- J';•q( <br />- ;� � r.ti v �_� ; �� <br />_ � T � - � _ �: <br />- � ._ = r ., . _ �s, . <br />. ' <br />ication�and=P�r�it � �� <br />� , - • ,; � .: -: <br />. R t � , y e ._ . <br />NO. 2%$ 9 H DATE� �_� ��mut�y�_ � <br />SBNICBAddfBSS _-61i1 n�...i.��w� ..�_a _ <br />Bllling Address — <br />._ <br />Clty, S�ele, Zip Are.+�c, ra _ <br />Owner _ Tr o�l-co can�truaolen <br />Connection by � L � �" � <br />Address <br />Phone _ i48-yg�,o <br />Legal Descr(ption: <br />Lot e • <br />Block <br />Plat ��� 'hrn« <br />Unplaqed Description: <br />TyPe ol Perfllit Ner n�truclinn <br />Remarks —_ <br />IMPORTANT! <br />CALL 1•600-424•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permi� Fee $ 30.00 <br />Connection Chargo <br />Trunk $ 310.00 <br />Lateral $ <br />Total Connection Cherge $ _110.Ild <br />Utilily Development Fee <br />Water S z��_ee <br />SewBt $ _ SS9.00 <br />Total Davelopment Fee $ _ 81�.00 <br />Sewer Bond District a�^a I <br />Abutting Lot Line <br />N, g, E, W _— ft. <br />Approved By — <br />Issued By—_ Mnrg�TMs �s^.Lua — <br />Cusromer Slgnature _ <br />Inspectian By •� �"'" �� — — <br />Date Inspectad �-�r� 9� <br />i�dsrrci iora <br />No. 2789i� <br />