Laserfiche WebLink
i <br /> CHART NO. — <br /> everett -�o �o,t:�9 <br /> F'� — t3-9 1 <br /> City of Everett <br /> � <br /> Sewer Application and Permit <br /> NO. 2$� 5 .�3 DATE ''iay 9, 1991 _ <br /> Service Address 10403 7t1� Avenue SZ Utility Account No. — <br /> Billing Address S�'1z <br /> 30.00 <br /> City, State, Zip ver c, w:� 532c8 Pern?it Pea $ <br /> Owner ��� > > ^� �i� �'laho �o3hi Connection Charge <br /> Connection by �„�.���;;��;,�a���— Trunk $ <br /> �. <br /> Address PU Lus 3304 _ Lateral $ <br /> EveretC �dA 982U3 _ Total Connection Char��`!Y'$"� ��� '�EA' !�'"''''��"'� <br /> { <br /> Phone 356 i423 Utility Development Fee I!n;�J2r1;u;; <br /> �,[kq?•' t'.Cl,in. <br /> Legal Description: Water i��{E�;�$ • �n r � <br /> Lot 12 Sewer $ <br /> Biock Total Development Fee $ <br /> Plat aroadway Fnras t 2 <br /> Unplatted Description: Sewer Bond District <br /> Abutting Lot Line <br /> N g E y�/ ft. <br /> Type of Permit �•Pw ('nnn�rf 1nn Approved By <br /> i:u <br /> Remarks __�- , Issued By <br /> Customer Signature <br /> IMPORTANT! <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING / � � <br /> Inspection By (�c' �����-�i7�// <br /> CALL 259-E810 FOR INSPECTION � <br /> Date Inspected �`�� <br /> SEE SKETGH ATTACHED NO. L$��J 5 <br /> ir�sPEci iori <br /> � <br />