Laserfiche WebLink
� [y�1 � <br />AJ �f GC <br />C H <br />9HCn <br />� <br />H � <br />�H� <br />� H �i'i <br />y�� <br />�z <br />HC7 <br />H�8 <br />S]� C <br />zy� <br />�HH <br />N <br />ri <br />oCcn <br />��m <br />� 1� � <br />HU[n <br />' �r <br />CHART NO. — <br />everett <br />� - � - ._ R'L <br />city ot everett �= TO POST�NG_ `` '� Z�°---- <br />Sewer �►pplication and Permit .: _ _ <br />_ `.. �: <br />NO. �HS��� DATF <br />5ervice Address —:�4�:--S.-4th-Avw-- Utility Account Na. <br />Billing Address —�pg-3ox--�3+}— <br />City, State, Zip , Perr�iit Pee $_�r�_ <br />�'� Owner — �ruee 6 PxaEe=— Connection Charge <br />� Connection by Trunk $ <br />Address Lateral $ <br />'I Total Conneclion Charge $ <br />Phore ccv_�c�3 — Utility Development Fee <br />I� Legal Description: Water $ <br />� Lot �.;.,had -- Sewer $ <br />IBlock Total Development Fee $ <br />Plat <br />Unplatted Description: <br />Type of Permit <br />Remarks _ <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATfACHED <br />Sewer Bond District <br />Abutting Lot Line <br />N, S, E, W _ <br />Approved By _ <br />Issued By—± ,�-� <br />;ustomer Signat��ro <br />Inspectian By _ <br />Date Inspected <br />�U-� , � ��� c�� � <br />� - , <br />n <br />� Si�lz <br />No. 28563 <br />ft. <br />i <br />--..-�'� <br />