Laserfiche WebLink
CHART NO. , <br /> i everett <br /> �i � il <br /> I � ; Til Pn�Tiplf_, i_- ue �3 <br /> i _ <br /> I = . , - =: I <br /> City of Everett � �, <br /> yr� � � - - r, � tµ; I <br /> p � H ; Sewer Application ar�d��ermit '- ., ;. ` � ^ , i <br /> � y y - = r G I <br /> �_ � Wy � <br /> k�� I NO. 2�7� � DATE 4av 5 1�9 : y � <br /> oxo I <br /> �v,r�i Service Address .2A�'+ v+��.�-.� r.:_. Utility Account No. <br /> �i y� Billing Address �51� ��Y I <br /> ON <br /> H �g Ciry, State,Zip �._�e_TyiA 9R7�1 Permit�ee $ 10 �n <br /> z H� I pW�ef . Connection Charge I <br /> H y Connection by _ Trunk $ <br /> �7n nn <br /> � H Address Lateral S <br /> c� Ct� <br /> � [� � , Total Connection Charge $ . <br /> '� �°' I Phone Utility Development Fee <br /> � � Legal Description Water S ��• <br /> I Lot i Sewer $ °q4 °n <br /> , <br /> i <br /> I '�� i Block Total Development Fee $�11.�� <br /> ��' Plat Seaviow Cruat <br /> Unplatted Description: Sewer Bond Disiricl 1* <br /> ��� <br /> � �� Abutting Lot Line <br /> I N,S� E, W — ft. <br /> �0�� Type o(Permit rma m�rmc2mu Approved By — <br /> IRemarks _ Issued By ��.Parei� <br /> CusromerSignature.— " <br /> �� <br /> i IMPORTANT! <br /> ����� � CALL 1-800-424-5555 48-HOURS . <br /> I PRIOR TO DIGGING r <br /> InspectionBy ��''�r�'�'��:�i,�� ,�� , <br /> �i CALL 259-8810 FOR INSPECTION /. 3 . � L <br /> I Dale Inspecled � <br /> I� SEE SKETCH ATTACHED No. 287i3 <br /> � II <br /> � WSPI=CTIO'�! i <br />