Laserfiche WebLink
��.....' <br /> � <br /> A � tx � <br /> G M <br /> � y y everett �CHART NO. —_____ <br /> � � � <br /> H 7tl � � <br /> y y � � � TO POSTING �, � z <br /> � � � _ $ � —�,�� _� l�,J; <br /> � o City ot Evr.rett � � <br /> H � g .s ,��'� �_ � "�- �,� <br /> -� , 1�� �. <br /> �� " Sewer A�piicatio . "and Permit �'°'�;" F` � � ,, <br /> � � � �g� �� ,�/ _� <br /> g d y Nc�. 2 3 6 9 3 DaTE __�[Zl/y2_ _ _ <br /> � y� Service Addres:; —�23.a.lpth_p�gg — Utility Account No. ( r /�3 'Y — <br /> H O tn Sawe <br /> Billing Address _ <br /> City, State,Zip F'�+Pratt34A_�92�� Permil Foe ? 30.00 <br /> Owner —__ �_��±�_:;�_ _ Connection Charge <br /> i <br /> Connectlon by _ _______ Trunk $ __ � <br /> Address —___ —_ Latcrat $ —_ _ <br /> --- -- Tolal Connection Charge $ __ __ <br /> Phone ___ __ _____ Utility Developr�ent Fee <br /> ��� Legal Description: yy�,y� $ __ _ <br /> Lol _ — ---_ _ Sewer $ — — <br /> I ��t Block Total De�elopment Fee S __—_ <br /> � Plat <br /> Unplatled Descriptlon: _ _ Sewer Bond District ______LID _ _ ____ __ <br /> �, �� ___ Ahutting Lot Line <br /> _ --- --— - — N. S, E, W _ _ It. <br /> �� Type ol Permit _�Q,����t�___ _ Approved By ___ _ __ <br /> Remarks __._ _____ __ IssuedBy—______� _ <br /> -----------�------ CustomerSignnWrc � __��--�� <br /> ��� . .... .. �. . . . <br /> IMPOflTA1JT! <br /> ���( CALL 1-800-424•55H5 48-HOURS ; <br /> PRIOR TO DIGGiNG <br /> CALL 259-8U10 FOR INSPECTION Inspection �y _�. _. ,�T_ .' _Y _ _ __ <br /> . <br /> Date Inspecled _ ______.� � " ' <br /> SEE SKETCH FITTACHE9 No. 28633 <br /> 'JT;I_I"�([Il.�i?,, . <br />