Laserfiche WebLink
everett <br />,e <br />City of Everett <br />T55P �oin S <br />Sewer Application and'g its <br />NO.28739 DATE <br />Service Address _9 74 1waraxemn Way <br />Billing Address <br />City, State, Zip zversu VA 9820! <br />Owner n s_.,,.__ <br />ce- <br />Connection by <br />Address <br />Phone __— <br />Legal Desc pion: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />°'yART NO. <br />gV911R, <br />Icn,T <br />ti <br />Permit Fe9" $ 30.0111 <br />„onn (on Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />$ _ #;5n eo <br />$ 779SO <br />$ ta3n to <br />$ 584 _ 4'% <br />$ 1541 03 <br />$ Yl'S 56 <br />Sewer Bond District — I 1 <br />Abutting Lot Une <br />N, S E,•W 147.93 tt. <br />Approved By 9 Izooks <br />Issued By M Bathes <br />Customer Signatur�( <br />Inspection By _ <br />Date Inspected <br />NO.28739 <br />INSPECTION _ <br />