Laserfiche WebLink
' <br />� l�1 1 <br />��x <br />ayr~n <br />y�H <br />n r`C � <br />F� f/1 H <br />Hx t'' <br />[i7 O � <br />H t7 <br />OH�y <br />H L��J O <br />ij] V �i <br />�H� <br />HH <br />g`� <br />H <br />c� C7 N <br />��� <br />zym <br />H O [A <br />.. .. .. �- ♦�Y.� . . ... <br />"� h Z�ba � i �X2.i. �?ii��t" <br />everett <br />� <br />City of Everett <br />�ewer Applicat <br />No.28653 <br />`:� <br />J <br />,r �,' - _.'_.. _ _ _ _ <br />ion and` �?er�nity _ � <br />�, W-„J, LL J� C'� G� `(�} (�'1 � G� '{^ <br />_, �_ � L' <br />r_ - � '� C� -�s_. _ _' <br />..J -.. '" _ '... . r.� :i -u. .... � <br />DATE y��z���z <br />Service Address 72U2 LoWer ttidca itd <br />Billing Address t4 a °'n'• <br />City, State, Zip • , � .,, ^' <br />Owner L'iiion Bav Construction Inc <br />Connection by <br />Address <br />Phone <br />Legal Description: <br />Lot <br />Block <br />Plat <br />Unplatted Description: <br />Type ot Permit tlev ConnQction <br />Remarks <br />IMPORTANT! <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOft INSPECTION <br />SEE SKETCH ATfACHED <br />Utility Account No. <br />CHART NO. <br />; �:;; TO PISTING �-z�-� <br />- r; <br />W <br />2 <br />Permit Fee $ _— <br />Connection Charge <br />Trunk <br />Lateral <br />Total Connection Charge <br />Utility Development Fee <br />. Water <br />Sewer <br />Total Development Fee <br />30.Q0 <br />u <br />$ �Fi nn <br />$ r7R nn <br />$ nto nn <br />Sewer Bond District i (retirc-�1 <br />Abutting Lot Line <br />N, S, E, W h• <br />Approved By <br />GS <br />issued By <br />Cuslomer Signature <br />, <br />t� <br />Inspection By ��''�� <br />Date Inspected �� ' ` <br />INSPECTION <br />No. 2$653 <br />