Laserfiche WebLink
CHART N0. <br /> � everett � <br /> I � <br /> SC"h] i � SP�l�� �L �JCSI� / <br /> �'>H - - - - �I�o��r <br /> c y� � City of Everett - - - <br /> oyo ;' Sewer Application and Permit TO POST��a�___�.�.-z� �, <br /> � �� , I <br /> CO H . . . �.. � <br /> `3 z 3 �10. ��q� 1 DATE n.t.,t.�.. ti, i oon <br /> O y� !, - — 'II <br /> H �g Sen�ce Address r���.;�.�,�-�;Y Utiliry Account No. I <br /> r�i� � BillingAddress _�^_: ___:;,,,�}-}�y.gg-- <br /> ta-� �y I Ciry,State, Zip .�t�t_.y�q�Dt�— Permit Fee S 39�__ _ � <br /> y H I Owner Connection Charge <br /> gd� � <br /> � �� � Conneclion by l��c�,c c� r��., �N c s Trunk $—�}g�gg - I <br /> z y cn <br /> �-3 o cn Address Lateral S -_ <br /> To�al Connection Charge $__LR_�p I <br /> I <br /> Phone aa1-oe65 Ulitily Development Fee <br /> Legal Description: Water $ y�� n� ; <br /> ��� i Lot _____ST_ Sewer $�51 .on _ <br /> � Block Tolal Development Fee b 459 n0 <br /> �.. � I i <br /> 1 � � P�at �q,erxeee-E4►:z— <br /> � Unplaqed Description: Sewer Bond Dislrict r�,.-,,..a * � <br /> i I <br /> �,�� � AbuUing Lnt Line I <br /> N,S, .,W _ ft � <br /> �..,� Type of Permit nr.... ..........���,.�. Approved By_ <br /> Remarks Issued By _ <br /> �-4�� Customer signature j <br /> IMPORTANT! i <br /> 1 (�� <br /> � CALL 1-800-424-5555 48-HOURS " �,�� <br /> i PRIOR TO DIGGING ���� <br /> � � �G�?' i <br /> CALL 259-8810 FOR INSPECTION Inspeciion ey � � <br /> Date Inspecled �-�� !� I <br /> � <br /> i SEE SKETCH ATTACHED No. 27961 I <br /> I <br />