Laserfiche WebLink
everett <br />� <br />City of Everett <br />Sewer A�plication <br />N0. ��8�� DATE <br />CHARi NG. — <br />Service Address ?501 ARL(1 LnY�naton <br />Billing Address 17�7 Seu},�M�artn� _ <br />City, State, Zip iesttl a H!.4R7 OA ___ <br />Owner (Mortgagor� 7PM Penetn�rtlon — <br />Billing Name S�mn <br />Connection By <br />Phone I63-0320 - <br />DESCRIPTION: <br />Utiii'.y Account No._ <br />Permit <br />Connection Charge�s�_��.00 <br />Toral Fee 30 �0 <br />1171-85 303 x � = 51212.a0 <br />175 x 4 � 460.00 <br />,_.� �� � <br />;"' `` i <br />Signed � `�.-,U-i " �, <br />u:tor�er <br />Sewer District dnnA 1i <br />Loi 5 Block � 3 <br />Plat [E14Rt Pinphu�st A Monthly Sewer Service. <br />Unplatted Description Monthly Sewer Constr. <br />Type Pennit: ilea cor�oection <br />Remarks: <br />IMPORTANT! <br />CALL 1�800d24-555546•HOUF.S <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPFfTION <br />SEE SKETCH ATTACHED <br />Trur�k !�Y��X <br />Abutting Lot Line <br />N, S, E, W <br />Approved B � il Theal <br />Ciry Engincer <br />Issued By ��a�__ <br />�-- ,7 <br />Inspection By�: 6P��'�h' <br />Date Insoected ?-�� "� C <br />IN�PECT!Ci: <br />No. 25�04 <br />