Laserfiche WebLink
everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />N0. Zp`��� DATE �==��r-1967 <br />Service Address s� ai �... ar _ <br />Billing Address s�... <br />City, State, Zip aw++.�c _ ra oa�na <br />Owner (Mortgagor) �� m.�.. <br />Billing Name Q.a.+ <br />Connection By �c��• pnwt <br />Address 1�11 park St �Le��h 9R390 <br />Phone �-+��� _ <br />DESCRIPTION: <br />Lot 17 Block <br />CHART NO. <br />�� � c��� u.T� y� sa�se <br />Utility Account Na. _ <br />Permit Fee �p,�p __ <br />Connection Charge(s) ��_ __ <br />Total Fee +n ,,.. _._ <br />Speclal Vt111lp Feu Ord• 1171-85 <br />W4r 224.00 <br />/ .� <br />.�_.� <br />Signed � �`�'� , ,� - /•, <br />� customer <br />� <br />Sewer <br />Monthly Sewer <br />Boad IZ <br />Plat -:.,- - r n.tsec. -- --- <br />Unplatted Description Monthly Sewer Constr. <br />Type Permit: <br />Remartcs: <br />Nw Ooarrotl.op <br />IMPORTANT! <br />CALL 1�800�424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259A811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Laterel <br />AbuttinN LStE in�Silk/� 2:IJ6Ftl (1001'dt7044 �P:k <br />.' <br />itG�JDiRfi'76 <br />E�_f�a tol'7.00 <br />ALP(3 i75.W <br />FILi:Ii �45.U` <br />Approved By�yf� • <br />"'�CIR �ee � <br />f; S'CN a �.SU <br />Issued By � `*�H F15.U0 <br />,� . <br />�liiii�]'_:)54 <br />tdR7l k � r,U.tx) <br />N "r : <br />. ��,�}�(1.U0 <br />Inspection By_�_,* �— <br />Date Insoected ��'�y ��?�y� <br />IhSPECTION <br />��o. 26331 <br />