Laserfiche WebLink
� � CHAFiT NO. — <br /> � � m I everett <br /> � " T _- ^.-_"�_ `= <br /> � � H ,U PGSTING_ <br /> y � ; <br /> ro y M _ � '`'. � :T� �? `�.a' �x_, '� : " <br /> � ,� � City of Everett , � �: .�. o o �� <br /> �, � .; ' � ,» "' .. � «: W _,. <br /> :,, � <br /> M � � Sewer Appli�ation and �'ermit =� , °� <br /> x n � � , <br /> M , .. -' r _ T *� � .�'.d %� � ... _i <br /> � H g ,.-. _ — _ " ' �-n � y_ _ . ��' __ <br /> y e •' 4e � L <br /> C s� ..� � �: Jr ti .J <br /> S� y H No. 2 8 Q 5 2 DATE •,��..R�,� �i +___�_go�_ <br /> ?Som <br /> � 1° � 721 Crocm Dr Utiliry Account No. <br /> � Service Address <br /> N <br /> Billing Address <br /> Ciry,State, Zip Everett k'A 9820i Permit Fee $ ^n nn <br /> Owner Jol�n b Invar �MG Connection Charge � <br /> Connection by t � Trunk $ i <br /> Address Lateral $ � <br /> Total Connection Charge $ none <br /> �' ' <br /> Phone +'+'� 2"'� UtilityDevelopmentFee I <br /> � C� Legal Description: Water $ '���• ^0 <br /> ,. Lot � Sewer $ ti6o_00 <br /> 1 '�� ' Tolal Development Fee $ Q" ^R <br /> Block — <br /> �� <br /> Plat °„ <br /> Unplatted Deacription: Sewer Bond District -- — <br /> I +� Abutting Lot Line I <br /> N, S, E,W �t• <br /> ��� <br /> �o � Type of Permit tieu (:onnectiou Approved By i <br /> Remarks — Issued By Hirearet ti McL�od I <br /> � '�� <br /> I Y1_� , Customer Signature I <br /> IMPORTANT! <br /> � <br /> ���r� CALL�-500-424-5555 48-HOURS <br /> PHIOR TO DIGGING �//���. <br /> Inspection By ��-'�"l�� <br /> CALL 259-8810 FOR INSPECTION L _9� i <br /> Date lnspected �j - I <br /> ; SEE SKETCH ATTACHED N�• 2�Q�� I <br /> I I <br /> iINSI'�CTION I <br />