Laserfiche WebLink
CHART N0. — I <br /> everett <br /> H � = TO POSTING 3 1 �- <br /> � � <br /> A � x City of Everett = _ . � <br /> 9HV� <br /> y �H Sewer ApplicatiQn`_and Permit <br /> - - - - - - � <br /> �y � _� � _ - -- i �� <br /> �yH N0. Z"$ZH�.~ DATE � ,� , ,� I <br /> i <br /> Hx � <br /> oo S23'-26ch S[ Uliliiy Account No. I <br /> y d Service Address I � <br /> �7f� ey 15u2G Jordnn R@ — I <br /> H t�p Billing Address <br /> H` � �.,�. na��^ Permil Fee � 3� ��) - <br /> x N� City, State, Zip ��rltn ,t <br /> � H <br /> H H Owner ��+ T -�-^ �•-' Connection Charge <br /> gC t~n ; Connection by Trunk $ � <br /> ��H�1 I Address - Lateral $ <br /> H O� Total Connection Charge $ <br /> � Phone Ulility Development Fee <br /> � Legal Description: <br /> Water $ ''61 9�� <br /> $ 66A.�'� I <br /> � �� � Lot 1 Sewer <br /> � 5y7 Total Developmeni Fee $ 9Go {�r� <br /> Block <br /> � Plat J'�da^ i "��'—'— — <br /> � !� <br /> � Unplatted Descriplion: Sewer Bond District _- J <br /> ! Abutting Lot Line <br /> I �=1-' -- fJSEW n. <br /> I Type of Permit Appro��ed By ' <br /> ��1�� Remarks Issued By �" <br /> Customer SignaWre <br /> � IMPORTANT! <br /> \ ' <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING ���` <br /> Inspection By <br /> CALL 259-8810 FOR INSPECTION Date Inspected b' �c -;i <br /> � <br /> ISEE SKETCH ATfACHED N�' 28281 <br /> � ir!sr�ECTio�� <br />