Laserfiche WebLink
CHART N0. <br /> everett i <br /> to �os�:, �n9 <br /> 5 - 1•-Sl <br /> I <br /> City of Everett I <br /> Sewer Applicafiion and Peronit I <br /> � <br /> NO. 2 81�11 DATE <br /> anLary , � I <br /> Service Address Utility Account No. — — � <br /> 2117 43rd St. S.L. <br /> Billing Address <br /> Sacte i <br /> City, State, Zip Permit Fee $ ��i �.;;Fi t.i:,�Uini �;i1i)A4!'� til 4 . ` � <br /> Evcrett, Wn�liin�.Can Ji203 1D.00 <br /> Owner Connection Charge 10!'�1:.'iilUi i <br /> Lindn Andreae ;d4!Cfr :ili.tv� <br /> Connection by _ � Trank r_ ;,:$; .: � ��� <br /> UumLr <br /> Address — Lateral $ <br /> Total Connection Charge $ �I <br /> Phone Utiliry Development Fee � <br /> 259-671� � <br /> Legal Description: Water $ I <br /> Lut Sewer $ � <br /> i 1/2 a£ 1$-21 • <br /> I Block Totai Development Fee $ I <br /> � lO.OJ � <br /> Plat I <br /> weXl,lliv "A" <br /> Unplatted�escnption: Sewer Bond Disirict <br /> __ Abutting Lot Line <br /> N, S, E, W — h. I <br /> Type of Permit Approved By — I <br /> Remarks Issued By <br /> Sewer alteration yermit. <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING �p I <br /> Inspection By �/ ` <br /> CALL 259-88110 FOR I�lSPECTION <br /> Date Ir�spected �''Z r� l/ <br /> SEE SKETCH ATTACHED NO. ZH,.OI. I <br /> � iI,!: � � )iic� ! , <br />