Laserfiche WebLink
CHART NO. , <br /> � <br /> i everett %o Pc�c�,K� ID//6�4/ I'i <br /> .?c�ra I <br /> �9H - . - - _ „5 �c ' I <br /> ��� i City of Everett - :� � = -_= <br /> � �� ' Sewer �pplication and Permit = � �� � �,, ;� ', <br /> 'Oi] I-5-1'�TJ � - �. .:. _ _ ,' '-�J_, -.ys � :�- �:' ,, <br /> U1H �' . ._ _ . .. . �- � � _ . <br /> � o� �I NO. Z796H DATE ._1�� -9�--- II <br /> H C7 I � <br /> � Service Address —F,?�{—=r,a-E-��— Utiliry Acco�mt No. I <br /> H �g �I <br /> �V � <br /> H BillingAddress — �,�; �o c �aY - <br /> City, State, Zip - � •'� ' ^'' 'a Permit Fee S 30 OD <br /> H <br /> ta" H�z-'. li --� — <br /> gCy N I Owner --_--;, , , , Connection Charge <br /> � c�t' -�..�,�ti., .,r2s Trunk $ 11� QQ <br /> � I Connection by ���� <br /> '� �� � Address Lateral $ <br /> Total Connection Charge $ , _ <br /> i <br /> Phone Ulility Development Fee <br /> Legal Description: Water $ t7v ur. _.— <br /> �,��I � Lot Sewer � . <br /> II Block Total Development Fee $ �S�� � i <br /> �� � � <br /> � Plat _ »aeaDiv I <br /> I , Sewer Bon� Dislrict i <br /> Unplatted Description: I <br /> (�� I Abutting Lot Line <br /> I N�S, E,W tt. <br /> �� � I Type of Permit __ Approved By <br /> Remarks <br /> Issued By — I <br /> ��.,,��� Cus�omer Signawre � <br /> IMPORTANT! I <br /> i(� <br /> j CALL 1-B00-424-5555 48-HOURS <br /> i PRIOR TO DIGGING �y��,- <br /> Inspeclion By -� <br /> i CALL 259-8810 FOR INSPECTION �� _ �..;� <br /> Date Inspected <br /> � <br /> ISEE SKETCH ATTACHED "o. 2�9'8 <br /> , I� <br /> �� �• ci�ic��: �� <br />