Laserfiche WebLink
• CHART NG. — -- <br /> everett <br /> eo POSTING_� �j � <br /> �i�� CityofEverett ,,, . •�:n�, ;e �a;,; :�,:J� , : <br /> A�w �' iip6G;;.Q��`s <br /> »� �� Sev�►er Application and Permit �a� ����� <br /> H �� I Flk`(i l65.00 <br /> tiEqi tRO.U(� <br /> K c~i � {� ��F'CII 5�i.`�(1 <br /> oxo i NO. 2$69H DATE � ,, _ <br /> � H� i <br /> Cn H i'i_L' CFI i�i Q'.':'i <br /> H t+ I 'tuHvrntno <br /> � z� I Service Address t���s �j�nas z,akF� [�s — Utilily Account No. <br /> 4fi:TLR iG'.if.tlp <br /> Ory-i� Billing A d dress n i�—' T—'--^��T "� R'u A� +'�.r 6 U��7<,c,4 <br /> � o� I r�r�.�il i.fN.,`d.Ei <br /> �:�� Ciry, State,Zip . Permit Fee � �� ha-,,_^ , ; <br /> z H I i!EF :�,U.pn ( <br /> � �7 Owner �su.�ai '� � � = n��{^^^ '.` ;r�,�n ConnectionCharge ��.�,t',Ut ,.'-.t�,OL � <br /> L <br /> g �H i Connection b �: 'ii i i <br /> HH I Y Trunk i�iiLi� ���i��'.. � <br /> c� C t/� � <br /> � �t., � Address Lateral $ __ ' <br /> � � • Total Connection Charge $ <br /> H O fn i <br /> Phone _ Utiliry Development Fee � <br /> � Legal Description: Water $ ��d oo� � <br /> Sewer g ��� nn { <br /> Lot ' <br /> I <br /> Block Total Uevelopment Fee $�;• <br /> �� � <br /> �.,� Plat _ <br /> Unplatted Description: Sewer Bond Disirict �ona iir , <br /> 0,,,, 1 _ Abutting Lot Line <br /> N.S,E�W — ft. <br /> i <br /> � � Type oi Permit Approved By — i <br /> Remarks Issued By _ <br /> ��� Cusromer SignaWre_ - <br /> iMPORTANT! I <br /> j �"� I <br /> —, .� <br /> CALL 1-80Q-424-5555 48-HOURS <br /> PRIOR TO DIGGING - � � - � �� <br /> ✓ �' � �f <br /> ""9 Inspection B � ! <br /> CALL 259-881Q FOR INSPECTION <br /> , Date Inspec�ed � � / /�Y II <br /> SEE SKETCH ATTACHED No. Z$G q S ( <br /> I <br /> I t���f'[=C1 I OIJ �'�, <br />