Laserfiche WebLink
� � � <br /> .�� x _ . <br /> � y �' CHART NO. <br /> y� H everett <br /> Ky � , <br /> � [~pH _ <br /> � o � =� TO POSTI NG � � (�_ <br /> � f: <br /> o H d Ci!y of Everett " ,-'. �. <br /> H [�1 O ` "" <br /> zH � Sewer A�plication and �?e�mit <br /> � y �i c.. :... <br /> z - -: �; � <br /> H H `; _ w <br /> y �... s �' x�. <br /> g d � NO. 2$6 J� DA,TE v�;942 <br /> �� � Service Address Q1 S 1 b�Ch Pl SP Uliliry Account No. <br /> HOp� <br /> Billing Address - <br /> City, State, 'I_ip �cc �r w� nn�nn Permit Fee $ _ <br /> Owner —Ps.��n ` "__," "'� " —_ Connection Charge <br /> Conneclion by A M ('enarnl f'onatr �rtnrr TnL,�_ Trunk $ <br /> Address »�F aGrh nr CF Lateral $ <br /> c..., rr wn 9R205 Tolal Connection Charge $ <br /> Phone z'+4 ���n UtiliryDevelopmentFee <br /> �..� Legal Description: Water $ <br /> 1 ' L.[ Sewer $ <br /> '�,1 Block — Total Development Fee $ <br /> ' � Plat _ <br /> Unplatted Di�scription: Sewer Bond District �*h A *Tn I <br /> ; j Abutting Lot Line <br /> NSE�W ft. <br /> � 1 Type of Permit ��-., rnnnnrtin� Approved By <br /> ��� P.emarks _ Issued By M. Hughea <br /> �! I Customer Signature <br /> ' IMPORTANT! <br /> ,�� CALL 1-800-424-5555 48-HOURS <br /> � PR{OR TO DIGGING ij ', / %_ ; <br /> _ __ % % <br /> -- Inspection By � <br /> C:ALL 259-881Q FOR INSPECTION <br /> Date Inspected <br /> SEE SKETCH ATTACHED No� 2 g E 5 4 I <br /> INSPECTION I <br />