Laserfiche WebLink
��� <br />�O�S <br />ayxi <br />H 93 <br />y z� <br />� H� <br />'� H'0 <br />z N <br />�O� <br />��3 <br />��g <br />� V � <br />A H� <br />4 <br />t NH <br />g`� <br />� <br />��� <br />�O� <br />�� <br />� � <br />1��, <br />L'� <br />, :iil�tl <br />everett <br />�� � o r us�, � to/l%/9, <br />� � <br />� i <br />� City of Everett <br />� <br />; Sewer Applic�tion and_ Permit <br />I <br />..r..i� i_ ..'�I <br />NO. Z H a. % B DATE __t��:.3s,si,::yac,;siu-- ___ � <br />Servico Address __ __._l�'�t 7�th_..St_S:I ___ Utitity Account No. <br />� <br />BillingAddress `�" "^"'` «u�----- <br />Ciry, State, Zip —; -f��7}��,a-�&2a:.-- Permi; Fee $_ <br />, Owner .. - �--- Connection Charge <br />� <br />Connec�ionby Samn ����� ___ Trunk $ <br />Address � ---- Lateral $ <br />. Total Connection Charge $ <br />Phone ___-1�4�911 - - Utility Development Fee <br />@Yft 10.G0 <br />Leoal Description: Water $__ � 7y-��� I <br />Lot . _- -_ . . . _ _ . Sewer $ ' I <br />--7— - <br />Block ___—. Total Dovelopmont Fee $ 650.uU <br />, Plat — ��� -- -- <br />I Unplal�ed Descriplion: __ Sower Bond District _ ���nJ I(retirad) <br />__ _ ____ _ _ _ Abutting Lot Line <br />Type ol Permit <br />� Hemarks _ <br />II <br />IMPORTANT! <br />CALL 1-600-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8,�10 FOR INSPECTION <br />_ N. S, E, �' ---- t�. <br />_ i,cv eopnuctSon ___ _ __ Approved 8y _. <br />. . . . ._ -_- - ISSUCd�y- - " r+�r r '� I.nef <br />C�slomor SignaWre _— <br />SEE SKETCH ATTACHED <br />� <br />�, ��Gl� <br />Inspection f3y-�' ._ __ <br />Dale Ins�ecled _ /�':../� 5 i <br />No. 2f31.76 <br />