Laserfiche WebLink
everetl <br />.e. <br />City of Everott <br />� <br />� <br />� <br />� � <br />� <br />u <br />Sewer Application and Permit � , � � <br />No. 2663T <br />Service <br />� <br />a � <br />.`�+ a i <br />DATE _ ■�1�. 19ts <br />N20 Oe��n �w <br />Billing Address Sso2 +�*�+> >�+ r <br />City, State, Zip =•��r,._.n �O3 <br />Owner (Mortgagor) �a+ �� — <br />� Billing Name *�* "'� — <br />Connection By �� �'�`• _ <br />Address �� � ""��� <br />Phone '�Rf Nl�' <br />CHART <br />��,,�"�-���� •-�.: l l� -?-v� <br />g}�a�$� S c�.�ga <br />��c ra� � ���� <br />� M N <br />�y (.y�y M L''f <br />I��Z�� tW"^ 3 �S <br />��i,.xw�- `� ��.-.v <br />Utility Account No. <br />Permit Fee 3n ee <br />Connection Charge�sl �2s � <br />Total Fee �s � <br />Ocdie�aoe 1171—YS� <br />rabs 17l.00 <br />Nwz �71.00 <br />650.00 <br />Signed ' <br />Cuttomer <br />DESCRIPTION: Sewer District �d ** <br />Lot �..__ Block Monthly Sewer Service <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1�00-024•555548•HOURS <br />PRIOR TO DIGGING <br />CALL259�811FORINSPECTION <br />SEE SKETCH ATTACHED <br />Trunk z�e m <br />Lateral �ce_m <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By �� �' � �L <br />Ciry Enqineer <br />Issued BY ��t E Mat�od <br />j _. <br />Inspection By <br />Date lnspected ����G <br />No. 26637 <br />I?;S^f=C � iON <br />