Laserfiche WebLink
CHART NO. <br /> I everett <br /> e ������ <br /> To PnsriNr, -=. , .� <br /> City of Everett <br /> TO POSTING .-- <br /> � Sewer Application and Permit <br /> �I NO. 2879� DATE i �7 4� <br /> � Service Address �(,+S i�Ci•11D �7i Utiliry Account No. <br /> i <br /> j BIIIing Address ��"' <br /> i <br /> City,State,Zip �K► �• •�+�+ Permit Fee $ '+�-�+ <br /> Owner +'w p*�T�� ConnectionCharge <br /> IConnection by p�� Trunk S ��� ^� <br /> �� Addiess Lateral $ �^� ^^ <br /> iTolalConnectionCherge $?� �e��� <br /> � Phone 1S5•�tE�^ Utility Develapment Fee <br /> ILegal Desc�ption: Water $ <br /> ILot Sewer $ �na_oo <br /> Block Total Development Fee $ +�+ �W <br /> Plat <br /> I <br /> IUnplansd Description: Sewer Bond Disldcl II <br /> �, AbWing Lot Une <br /> � N,S,E,W n. <br /> US:14i v` _:'.CSH IXlf►1q4v39 {I t: <br /> � Type of Permit N.0 ro nrnu Approved By <br /> I k00([:8�'Ml <br /> i Remarks cRm1r �v asns r-iv►� �oa �wnm* Issued By �k1GF t:n ^^ <br /> � �sm;i sznz.,�n <br /> I _�up ererca s.or/ag CustomerSignature��,T....,,._, —„f,,,�F� -- <br /> I IMPORTANTI �:��E�r �;�.;.rK� <br /> � <br /> I CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING /o_�- r� <br /> � Inspenion0y m`� � � <br /> CALL 259-8810 FOR INSPECTION <br /> � Date Inspected � �3 <br /> I SEE SKETCH ATTACHED No. ZS79O <br /> i <br /> I INSPECTION <br /> i <br />