Laserfiche WebLink
CHART N0. <br /> everett <br /> � <br /> � To PnsTiN� �-� _ � <br /> cny of e�eren� � � � TO t' ; -- — <br /> � « �� r <br /> Sewer /��p�i�t�on and Permit <br /> � � � � � � <br /> NO. f$O L DATE <br /> Service Address Utility Account No. <br /> Biiling Address �••• -�__�M � <br /> City, 6tate,ZiP - ' ^' 9S07i - Permit Fee $ 2.,,s� <br /> pW�� _ Connection Charge <br /> Connection by Trunk $ <br /> Address Lateral S <br /> Total Connection Charge $ <br /> p�� Utility Developmont Fee , <br /> Legal Desc�iption: Water $ <br /> �t Sewer $ <br /> B� Total Development Fee S <br /> Plat <br /> Unplatted Description: Sewer Bond District — ( <br /> Aburiing Lot Line <br /> N,S, E,W x• <br /> Type of Permit q- — _ Approved By <br /> Rematics Issued By <br /> Customer Signature � <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> InspecNon By <br /> CALL 259-8810 FOR INSPECTION <br /> Date Inspected —1 <br /> SEE SKETCH ATTACHED NO. 2 H O 3 2 <br /> INSPECTION <br />