Laserfiche WebLink
CHART NO. , <br /> everett <br /> 5 e.;� li posE,•� S-ss -�c� <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. 27S9O DATE <br /> . <br /> Service Address 6'+27 lat Dr. Sc Utility Account Na ��'`��"�� 1.:i n`tf f1(H)1\i1��1Y5 lt3!'. <br /> BillingAddress ��•�---.o.-�::«�1=,,..TSit iP129 ��3c� ,_ <br /> i:t_r.c s��.�a� <br /> City, State,Zip � Permit Fee $ an n'rW���'%9� <br /> t -Uli 159Y,W <br /> Owner � a . o p. Cnnnection Charge f�.� }��:(p <br /> Connectionby Trunk I�LN3;li •-�''"-'^ <br /> Address Lateral �y,��� �§,� <br /> 'utA �t�i <br /> Total Connection Charg�y,��' <br /> , . <br /> Phone Utility Development Fee NOtAk^7o�t1 <br /> SEidfR 2.',U.tXI <br /> Legal Description: Water �$ X l�a0.Cri1 <br /> l.i71-5 `i .UO <br /> Lat eo Sewer qiEt�: '�914+eQ9��1 — <br /> Block Tota{Development Fee $ —g>> ���.�,_�— <br /> Plat <br /> Unplatted Description: Sewer Bond District T <br /> Abutting Lot Line <br /> — N,S, E,W h• <br /> Type of Permit NR,. c.,.,nerriea — _ Approved By_ — <br /> Remarks Issued By_ <br /> i � , <br /> Customer Signature -- - <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING , <br /> CALL 259-SB10 FOR INSPECTION Inspection By �'� f f <br /> Date Inspected '� -'Z r �4� <br /> SEE SKETCH ATTACHED NO. 2 I�R 9O <br /> INSPECliON <br />