Laserfiche WebLink
�yy0y°y <br />JD <br />� 15y-9 Ca <br />tHx� <br />offth <br />y H <br />8IV <br />HM <br />0• n <br />HH <br />t Hx <br />HH <br />H <br />HOry <br />+` <br />1 C3 <br />'Wft aw, <br />U"l <br />li <br />'I <br />Sewer Application and Permit <br />0 <br />DATE _ 7-20-93 _ <br />-N� <br />Service Address <br />Billing Address <br />Everett NA 98201 <br />City, Stale, Zip <br />First Fresb Church <br />Owner <br />Connection by <br />— <br />Address <br />259-7139 <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type of Permit Alteration <br />Remarks — <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />Utility Account No. <br />CHART NO. <br />% jx6�"t � &-' -S - 4'3 <br />Permit Fee $ 30.00 <br />Connection Charge <br />Trunk <br />$ <br />Lateral <br />$ <br />Total Connection Charge <br />$ — <br />utility Development Fee <br />Water <br />$ <br />Sewer <br />$ <br />Total Development Fee <br />$ <br />Sewer Bond District --- <br />Abutting Lot Line <br />N,S,E.W — <br />Approved By <br />Issued By <br />Customer Signature <br />Inspection By✓ <br />Date Inspected <br />SEE SKETCH ATTACHED <br />INSPECTION <br />7_S342 <br />