Laserfiche WebLink
CHART NO. — � <br /> everett �` <br /> � <br /> � <br /> od <br /> � <br /> � s � � � � � o s s �T(► �1STING ia -�' -9, <br /> City of Everett � . • � � � � <br /> a ',�� ��. � a* � � � <br /> Sewer Appli��i� � � i�` <br /> � .. . � a <br /> � <br /> � � �' ,.- ' <br /> NO. 2gGaZ� � DATE � :.,.�. �i� i� � � <br /> Service Address UtPity AccouM No. <br /> Billing Address °'� �� '�` `t <br /> City, State� ZIP Permit Fee $ �^ ^^ n � :�o eni..�� <br /> p,N�� ItlA6ar3 aed�.� Connection Charge <br /> Con,iection by - Trunk S � �� <br /> I' Address Lateral $ <br />, Totai Connectfon Charge S <br /> Phone »�-��'�^ Utfliry Development Fee <br /> Legal Description: Water S �, s* <br /> �t Sewer y 2 �!7 SO <br /> B� Total Development Fee $�1.!'� o` — <br /> Plat <br /> Unplatted Description: Sewer Bond Distric[ � ___ <br /> Abutting Lot Line <br /> NSEW ft. <br /> Type of Pertnit 1m C�Cetdl� Approved By I <br /> Remarks <br /> Issued By s '���� <br /> Customer Signature <br /> IMPdRTANT! <br /> CALL 1-800-424-5555 48-HOUFtS <br /> PRIOR TO DIGGING <br /> inspection By <br /> CALL 259-8810 FOR IN�PECTI�N � <br /> Date Inspected <br /> SEESKETCHATTACHED No. Z$64Z <br /> INSPECTION <br />