Laserfiche WebLink
everett <br />e <br />City of Everett <br />Sewer Application <br />N0. �v301 DATE <br />� <br />��^� p <br />4 L7Q� �G�O� <br />� f',I L'I Gl w 1") N O <br />t•') -r �r� ta .o .. w <br />pv ,x w Y: w- v+ <br />anc�P�ermi� � <br />V � � 1 ry <br />� � � � � � s � � � <br />� a Fix�W c�u s <br />� <br />Service Address � <br />Billing Address � <br />City, State, Zip <br />Owner (Mortgagor) ����,� ���� <br />Billing Name e___ <br />Connection By 6 <br />Phone <br />DESCRIPTION: <br />Lot z Block _ <br />Plat i� }�G9-�G ii6 <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024-5555 48•HOURS <br />PRIOR TO D�GGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />CHART N0. <br />������!,-.��,::, ,- 1-i3-s7 <br />, <br />Utility Account No. <br />Permit Fee 3p,� <br />Connection Ch�rge�s) ���� <br />Total Fee <br />5pacial Otllit� FN O�d. 1171-85 <br />wter 179.00 <br />, �.��wr � 71�b0 <br />` �: ,rao <br />� �. � <br />Signed ' � � � � �� <br />cu:romer <br />Sewer District Band IZ _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk 270.00 <br />Lateral 450.00 <br />Abutting Lot Line <br />N, S, E, W <br />Approved By Nd'RED R. THEAL <br />Ciry Engineer <br />Issued By 8usy 9auaen <br />Inspection By � <br />Date I nspected �� Z�-'�' � <br />INSPGC i IOfd <br />No. 26301 <br />