Laserfiche WebLink
eve�ett <br />Clt�► of Everott <br />CHART NO. <br />Sp,�f J� �03��``% <br />7-11-�/ <br />Sewer Application and Permit <br />No. 28339 �Ar� �-�1 <br />Servfceqddregg S 2 +Rht.sa <br />Billinp Address �a g �� �JPc clo] <br />p� ��g� � Ltirar�tt YA 98T03 <br />Owner a s.a �ltciz. <br />Connection by �� <br />ir .*'��� <br />Pf�one <br />l�0al Ds�aiption, <br />lot <br />Block <br />Pl�t <br />Unpletted Desaipdon: <br />Type of Permft �rair <br />Rernarlcs <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-6810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Aarount No. <br />Permit Fee $ 10. W <br />Connection Charpe <br />Trunk S <br />Lateral 3 <br />Total Connection Char�� ` x <br />� <br />Utility Development Fee � <br />U0002E=539 <br />Water ��a•� <br />QFp: . <br />Sewer S <br />Total Devebpment Fee E <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W n• <br />Approved By <br />Issued By �l�i• ��?h� <br />Customer Signature ��.— � � �� � I`-4- � <br />Inspec?fon By -�/ �� � <br />Date Inspected �- �� - � <br />INSPECTION <br />No. 28339 <br />