Laserfiche WebLink
i <br /> 0 [7Y*01 <br /> r qEa <br /> HE <br /> 'i 0 CHART NO. .- ----- <br /> Ea H <br /> everett <br /> qz� TO �f1STINf Cn �, 9z <br /> off e <br /> tong <br /> Q. ,- E � s s s ss8 <br /> y City of Everett <br /> r ~ M <br /> g dy Sewer Application ani. _ err�,iN <br /> qtr <br /> s ga _ t- <br /> F3 q W l No. 28558 DATE sm <br /> Service Address -]11---=LOth s�^* Utility Account No, <br /> Billing Addressg+- <br /> City, State, Zip Permit Fee $ <br /> OwnerConnection Charge <br /> Connection by —�..aez- �o Ex tow Trunk $ <br /> I <br /> Address Lateral $ <br /> Total Connection Charge $ <br /> I Phone un inn, —. Utility Development Fee <br /> Water <br /> Legal Description: <br /> $ --} - <br /> Lot Sewer $ <br /> -- - <br /> Total Development Fee $ 179.00 <br /> Block _ <br /> Plat _iTanayrook flio 1-- <br /> left Unplatted Description: _---.---- Sewer Bond District <br /> Abutting Lot Line <br /> �w ----- — — — N, S, E. W ft. <br /> Type of Permit _-HL H-Ca =QU -- Approved By . 1l----- <br /> 1 Remarks ___--- — Issued By <br /> Customer Signature I <br /> IMPORTANT! <br /> CAt L 1-800-424.5555 48-HOURS <br /> PRIOR TO DIGGING <br /> Inspection By `"`41e(`",1 <br /> CALL 259.8810 FOR INSPECTION r.z <br /> Date Inspected <br /> SEE SKETCH ATTACHED No. 28558 <br /> INSPECTION <br />