Laserfiche WebLink
everett -' <br /> CHART NO. <br /> -r <br /> :r <br /> � <br /> �� �� � s s � �. � TQ �nSTiNG aas-�3 <br /> City oi Everett � `' ;.s �J G u � � � � <br /> ., :: �, .. a <br />� Sewer Application �r�d ..P���� � � <br /> : <br /> � <br /> � � ,_ � W, �_ �: �; � , �� :� . .. <br /> : � � _, � � � ._ ,,; � � � : u� <br />� 28694 DATE �` � � � � � � � y � � `� u <br /> NO. _��rt� », ,oo� <br /> , Service Address ZS110 a�31�g 1�*� Utility Account No. <br /> Billing Address � ara: 5267 <br /> ; Ciry, State, Zip ---�Q��„;—.3Et2@5 Permit Fee $ ,e ne <br /> Owner �� Skv���u Connectfon Charge <br /> Connection by �,= Trunk $ <br /> Address Lateral $ <br /> Total Connection Charge $ _p_ <br /> Phone Z59 �351 Utility Development Fee <br /> Legal Description: Water $ z�n_ag <br /> Lntg �+ t � Sewer $�A4 7s <br /> Block 6e2 Total Development Fee $ �y,��� <br /> Plat o! �'ws�tt <br /> Unplatted Description: Sewer Bond District +�+�•*-�d <br /> — Abutting Lot Line <br /> N, S, E,W ft. <br /> Type of Permit trsw COanteCiZox Approved By <br /> Remarks Issued By a �k�}} <br /> �-- <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING � <br /> CALL 259-8810 FOR INSPECTION Inspection By ��� <br /> Date Inspected �� � Z <br /> SEE SKETCH ATTACHED N0. ��C1�G <br /> / INSPECTION <br />