Laserfiche WebLink
ever�ti <br />City of Everett <br />SE�wer Applicatior� and Permit <br />N0. 287.52 DATE ���,_3_?�l — <br />Servico Address —11'+ -�5th�t Q� Utility Account No. <br />Billing Address , <br />Clty, Sf810, Zip �«�-t� un au�nr. <br />Owner <br />—Bnjardl+reeo:-- <br />Connection by _�rWeti'�eir.� Q � cr <br />Address <br />CHART N0. <br />SC��� �� �G�in� �-ZG-�j� <br />Permit Fee $ �0 00 <br />Connection Charge <br />Trunk <br />$ <br />Lateral $ <br />Total Connection Charge $ <br />Phone 3�4-5018 ____ Ulility Development Fee <br />Legal Description: Water $ 179.00 <br />Lot <br />❑�: <br />Plet �+w� r��� <br />Unplatted Descdption: <br />1 ype of Permit <br />Remarhs <br />IMPORTANTI <br />CALL 1-500-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8910 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sewer $ a�l_oo <br />Total Development Fe $ <br />�i: �i �..�, , i��n�i,, , ,, <br />;Oltli:`ni S4 <br />Sewer Bond District +�+� �� tr� ��aAn <br />f'L.CY� Y•iS.�YI <br />Abutting Lot L(ne 11.1d� : i�0.0U <br />R 1�fy:11 '.�a. Al <br />N, S, E, W— y,�,uE�4�='' ::;� ft. <br />Approved By IAM�uc'fi('�? <br />�. <br />IssuedBy ���1.:: �r,ai.�l <br />� 'UNN 'iJr.f <br />CustomerSig�ature `� � <br />, �.�.. : � '.: . . `.,n <br />`- <br />Inspection k3y � <br />Date Inspected _ 3 -� �-� � <br />INSP[CTION <br />No. 2815? <br />