Laserfiche WebLink
everett - <br />�=, <br />� <br />City oi Everett � � g �' � � $ � <br />3 c� i S � _ :: `f'' �5 <br />M N M � <br />Sewer Application ar�d{�Per�it� � <br />� ��������f <br />NO. 28384 DATE �ANEe�E i3r��9� <br />Service Address ���;F� 6E �li <br />BIIIIngAddress �y�a�p �-q <br />Utllity Account No. <br />CHART N0. <br />�^ nncTING ��= <br />City, State, Zip �,k Bse�ee� ib! 98�48 Permit Fee $ 3a00 <br />Owner <br />Connection by ��itd /�•2J'o�. <br />Address — <br />Phono _ <br />Lepal Description: <br />Lot <br />Blxk <br />Plat <br />Unplatted Descrlption: <br />Type of Permit <br />Remerks <br />IMPORTANTI <br />CALL 1-800-424-5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8810 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />u <br />Connection Charge <br />Trunk <br />Lateral <br />a <br />$ <br />Total Connectlon Charge $ <br />Utility Development Fee <br />Water $ 179.00 <br />Sewer $ 6]1_00 <br />Totel Development Fee $ 650 00 <br />Sewer Bond Dlstrict i (reetrea) <br />Abutting Lol Line <br />N,S,E,W _ <br />Approved By _ <br />Issued By <br />Customer Signature <br />inspection By /����— <br />Date Inspected <br />INSPECTION <br />iz - <br />No.2838$ <br />n. <br />