Laserfiche WebLink
everett <br />� <br />City of Eve�ett <br />S�wer App�ication and Permit <br />CHAR". <br />-, f-l- ' �.:•��� i; .'f�. <br />N0. L92�2 DATE _ * ea �en+ � <br />Service Address�s�� B="'," �'� — Utility Account No. <br />BillingAddress__3.' ��R1�wrr ua — <br />City, State, Zip.�tLsl3.. �n �e°1' -- <br />Owner (Mortgagor►_aL �� �1t — <br />Billing Name_�a�� - <br />Connection By �� •_ ^' '' — <br />Address ���1 �4"' ' � <br />Phone <br />DESCRIPTION: <br />Permit Fee 3p„� -- <br />Connection Charge(s) ++�— <br />Total Fee <br />Bpeclal Utility rie OrA. �171-85 <br />Mal.es 152.00 <br />w 400.00 <br />�%52 Osp � <br />Signed ` � �� — <br />cu:tomv <br />Sewer District <br />Lot T— Block�— Monthly Sewer Service <br />Piat pLt of arnrly_B�Lk-B�4 <br />Unplatted Description_ Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1•800�24555548•HOURS <br />PRIOR TO DIGGING <br />CALL269$611FORINSPECTION <br />SEE SKETCH ATTACHED <br />Trunk 270•00 <br />Laterel 450.00 <br />Abutting Lot Lin��p.,�la� ��.�� ��� #xkt <br />N S E W� t. <br />ptlliUlff321 <br />�it� f.5��.�1U <br />(� �l.�. � <br />� <br />Approved By� • , (�--- <br />B S nem 4:3.`JQ <br />8�1 415.00 <br />Issued BY�r����—otT---- <br />Ht1W26242 <br />SLIJF.R t30.00 <br />'f� 1� fii�.QO <br />� X � <br />Inspection By s <br />� � .�o ' <br />Datelnspected � n <br />NO. Zv�`�G <br />I�SPLCI'ION <br />