Laserfiche WebLink
. �verett <br />�7s i �� �� <br />wc- vo �) <br />City of Everett G; <br />S>JC' /S.S C>�-S <br />Sewer Appiication ar�d Permit <br />NO. `Z$O84 DATE i - I`'i -�Il <br />Sen `ce Address ��' ��- �� � I Utility Account No. <br />Billing A�dress <br />City, State, Zip <br />Owner <br />Connection by �. i��i c5 G G-.t,r- �•c� T�' <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatled Description: <br />Permit Fae $ <br />Connection Charge <br />Trunk <br />Lateral <br />$ <br />g <br />Total Connection Charge $ <br />Utiiity Development Fee <br />Water <br />$ <br />Sewer $ <br />Total Development Fee $ <br />Sewer Bond Dis�rict <br />Abutting Lot Lins <br />— N, S, E, W <br />Type of Pormit �c'_ -,T i Y��,8��__ Approved By _ <br />. T- <br />� <br />Femarks ��/��+.�� �k�(���?� Iss�edBy n��� N1,1IrY <br />� S i c�z- 5 ec.,..� e2 �2�m MA-�..c� Customer Signature <br />IMPORTANT! i� /�'�'� �,�v�. /YI��.� g' (�. T� �{ <br />s.p. ���. s-.S. @ P/L � �J . <br />CALL 1-800-424-5555 48-HOURS 3 t��/' � o� M�-/ �c ��S �. <br />RRIOR TO DIGGING / . <br />CALL 259-8810 FOR INSPECTION Inspection By ^ <br />Datelnsperred �_� 9- �,�_ <br />SEE SKETCH ATTACHED No. 2 8 0 8 4 <br />cusro^n�� cor�v <br />:-� <br />