Laserfiche WebLink
everett l I CHART N0. ��-2� '"� � <br /> .. � �L�2.ar�- ' %��-G-� <br /> � TO POSTING FEe o 5 �oo� , . ,r � <br /> � . �'�t�r -e,>-n.-r -c<, �,i �,r,c'�� <br /> Ciry of Everatt� � � � _ °<<; '�: '�1Ec Qc<•� .� ��«� .- <br /> _ � � ri , <br /> _ ;. . � ��.f.�« ,�.L .���L /. j <br /> Sewer �p�il�Cation and Permit %��. ���� �- ���t� �° � � •� <br /> i � <br /> : � � � �!� �`�` •/ <br /> NO. �3 l 3 � DATE an. ia, i�i `���� � <br /> Service Address Utllity Accaunt No. <br /> Bllling Addre53 ' " <br /> Ciry, State,Zip __ �.et, xr1 it�p� Permit Fee S ao.oe <br /> Owner . Connectlon Charge <br /> Connectlon by �1►6nm i+.ch�nic.1 Trunk $ <br /> Address Lateral S <br /> Totfll Conneclion Cherpe $ <br /> Phone e3e-A�n , Utliity Development Fee <br /> Lepal Descriptlon, Water S <br /> Lot Sewer S <br /> Block Total Development Fee S <br /> Plat <br /> Unplatled Descriptlon: Sewer Bond District <br /> Abutting Lot Line <br /> N, S, E,W _ R. <br /> Type of Pertnit :tEu oo�4EClZoa Approved By _ <br /> Remarks �*�+�.► s�l � ��*l•�• ^•+^•�tr�•�++�•+ Isaued By T �+�1� <br /> ��af}�� � N�uu��4p..�H��y�_ CuatomerSlgnature �`• • �`�"'/� �'� <br /> IMPORTANTI <br /> d� <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION ��P�bn By <br /> Data Inspected ({ — �� <br /> SEE SKETCH ATTACHED No. 28313 � <br /> •.�..�er_....� <br />