Laserfiche WebLink
everett �� <br />:� ' <br />� <br />:z <br />_ <br />V '� � J TuL']� � ie�rJ <br />City of Everett � _ . • : _ <br />•_ � �i -�,p o .* <br />C� i:� .r.� m• C•J �.. .+7 <br />-J.�..• ea n .. <br />Sewer A��lic�,�ior�.�nd Permit <br />. : � k ��;,:� -•� <br />:= °i;3�'.�y"��--��bs�=��'_'—�`u <br />��t C.L.�i.::a� �u � �� <br />NO. ,�� 9'.% ( DATE <br />Service Address _ �A��� � 3y�,�4�= yt. _ <br />Billing Address lslao — ldl■t sve cF <br />City, State, Zip ��o}ua�sh, t�lA 9H290 <br />Owner �� E� ��Q <br />Connection by �..r <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Piat <br />Unplatted Description: <br />Type of Permit <br />Remarks _ _ <br />IMPORTANT! <br />CALL y-S00-424-5555 48-HOURS <br />PRIUR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account Nc. <br />Permit Fee $ <br />Connection Charge <br />Trunk <br />Lateral <br />CHART NO. <br />Sv.i- �a �as�,..� Ss` i�--9/ <br />(ixisting aervice) <br />$ <br />$ <br />Total Connection Charge $ w <br />Utili;y Development Fee (cradit f.or pre�f.oas bldg) <br />Water <br />E� <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W <br />Approved Dy <br />Issued By T Fac)nro11 <br />r <br />Custumer Signature ' <br />Inspection By ��`�� <br />Date Inspected _ �—f — �� <br />INSPECTIGIV <br />NO. 2T9Z7 <br />ft. <br />