Laserfiche WebLink
cverett <br />� \ <br />City of [verett <br />Engineering & Community Services <br />S���r Ag�p�i�a�io� a�e� Pe���� <br />f_ <br />CHART N0. ��' '� . <br />� <br />�+ � •� �� - <br />,,.:- ,._,; <br />�i,� G� �" � ,-_ � • � <br />� �. � - ;:a <br />! / `��� � <br />r�°�� - . <br />No. 2226� DATE :� � %� _ � <br />Service Address 7�� �� /�f/ c�//- Utility Account No. <br />� <br />Billing <br />City, State, Zi <br />O�vner (Mortyagor) <br />Billing Narne /� _ <br />Connection By �./'� _��� �t E �' <br />Address <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descriptio <br />T.. _ �l . _ . _ <br />Block <br />Permit Fee .�;^_,.-�.-y'-� <br />Connection Charge( <br />Total Fee _ -� ��--.-�_c_ <br />�t, %� �i <br />Si�ned C'r'r' 1 �`L�?_-�J,�-t ' <br />c�:�omc• <br />�n <br />SEESKETCH ATTACHED <br />S�:wcr District <br />Monthly Sewer Service <br />Monthly Sewer Canstr. <br />Trunk <br />Lateral__ <br />Abutting Lot Line <br />N, S, E, W_ <br />��-�� ��. . <br />Approv,eU6Y- �'��`"'�--�=--� <br />� � Cny Engineer � <br />So / �, <br />i55��a evy� '_ ._ <br />l,i C�=�� %".'- / <br />� <br />Inspec[ion By_ L�-'_ac,��.%'?.•.;��. (�_ <br />tryt=-r_ <br />Date Inspected_�_- � js�% �'� <br />N O. F �� � E� '+ <br />CUSTORI�R COPY <br />