Laserfiche WebLink
CHART NO. <br /> Ieverett .�(,�r1�- � ��s�i.� �D/�9��1/ <br /> � <br /> ` � � <br /> City of Everett ? o � <br /> �''' .e :c <br /> Sewer �4p�lication and Permit <br /> ::� _ � �, <br /> � 4 J <br /> NO. Z'a2q� DATE sy-r�s, ,ao, <br /> Service Address 456 viev Ridge n�r. _ Utility Account No. <br /> Billing Address ^ " � <br /> City,State, Zip �'°18tt, Nl► 9820] Permit Fee $ 10.00 <br /> Owner Connection Charge <br /> Connection by <br /> �°° Trunk $ <br /> Address 7�10 - 52nd �� SE Laterai $ <br /> �.. ++ vp_.4flZD5 Tolal Conneclion Charge $ <br /> Phone 31d-8027 Utility Development Fee <br /> Legal Description: Water $ <br /> Lot Sewer $ <br /> B��k Tota! Development Fee $ <br /> Plat <br /> Unpiatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> _ Nsew ri. <br /> Type ot Permit •• ���+�ar^ pypl*u3 - Approved By <br /> SAH6 LOGTION) �ssued By J ltock�a�a11 � - _ <br /> Remarks — • <br /> �% <br /> Customer Signature ' <br /> IMPORTANT! <br /> CALL 1-B00-424-5555 48-HOURS <br /> PRIOR 70 DIGGING �_ <br /> Inspection By ���"' <br /> CALL 259-8810 FOR INSPEGTION <br /> Oate Inspected S- z 5-9 ' <br /> SEE SKETCH ATTACHED No. 282g1 <br /> ir.SFLCTION <br /> � I <br /> I <br />