Laserfiche WebLink
f . . ._.-�ce� <br /> � <br /> crc�cu <br /> e �e _. � <br /> � <br /> City of Everett� 88 <br /> ��� o0 <br /> � Sewer /�� lication and Permit � <br /> ��� � � <br /> ,'� '�'' N0. g 7 DATE _� ���gg;, <br /> ��� Service Address �+,;_;�N=,p� �}� Utiliry Account No. <br /> �p� Bfllinp Address - <br /> HO <br /> ~ City,State,71p �--� + Pertnit Fee S „n w� <br /> -�...�..� IIi 9�i9: <br /> �� Owner , . Connection Charge <br /> H <br /> �M Connectfon by • � Tn:�k $ <br /> W <br /> �+ Address Lateral $ <br /> �� <br /> H�," Total Connection Cherge $ <br /> 6� Phone ���_ Utiliry Development Fee <br /> � Legal Description: ' Water y <br /> • �, '. Lot Sewer a <br /> 1 �� Blodc Total Development Fee a <br /> i Plat <br /> � ilnpiatted Description: Sewer Band Disirict <br /> I �� Aburiing Lot Line <br /> - N,S,E,W _ ft. <br /> il r1� Type o1 Permit Approved By <br /> Remarks Issued By a �}f _/ • <br /> ' � CuslomerSignature • �f - - �' �- /�� <br /> � 1 IMPORTANTI / <br /> `� CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8810 FOR INSPECTION Inspedion By <br /> Date Inspected <br /> ��+'� . . ' .. <br /> SEE SKETCH ATTACHED NO. Z�T9�JZ : . <br /> � . iNSPecnot� <br />