Laserfiche WebLink
everett �" <br />� <br />�,s <br />r+ <br />.�ss <br />? <br />�p' � <br />C <br />City of Everett � �; � S ;� � � Y " <br />p r � p� C. <br />j .-� 'J' [ J :a � .� •,Z' �'S �: u� <br />7 M �*R n �r.� [ Q P <br />.w .. <br />Sevuer ��licati n �rad �Perrnit <br />.:� o=y�..i��-�•�S�``5�' �� ��;k <br />—. � � � r <br />ISC irX'-=�''�1 �•-� � <br />NO. �}T a� ? DATE — <br />Service Address , <br />Billing Address � s� °^ �� "* A� � <br />City, State, 7_ip �a +rh, iih 9D'9B <br />Owner — � iaman — <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type ot Permit �t h+ <br />fiemarks <br />INlPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTiON <br />SEE SKETCH ATfACHED <br />CHART N0. <br />Stn+ �.���,,.� 8—iz-9i <br />Utility Account No. — <br />Permit Fee $ an_oi <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />Water <br />Sewer <br />Total Development Fee <br />Sewer Bond Disirict _� <br />Abutting Lot Line <br />N, S, E, W 4�' <br />Ap,r,roved By <br />Issued By T fl^^�" <br />Customer Signature <br />, <br />$ oao r,p___ <br />��/ J . <br />Inspection By <br />� <br />Date Inspected � ��� <br />I��ISPEGIION <br />No. 27925 <br />ft. <br />