Laserfiche WebLink
everett <br />� <br />City of Everett <br />Sewer App�i�ation <br />No. 25791 DATE <br />� � <br />E� -r <br />� �8 <br />cI � <br />a. <br />. <br />o t`� � <br />c in <br />and Perm�., � ~ <br />� , � <br />� � ��� <br />`'�uquat 6. 19� "` <br />Service Address 5111 Ras�elc Rw <br />Billing Address �� — 6�� �►� � <br />City, State, Zip gt��woa• 101 98i92 <br />Owner (Mortgagor) ��a ��� <br />Billing Name � <br />Connection By <br />Phone 629-3'r�s <br />CHART <br />SFNT Te cr-Ir�tiTi,�G 7/>��87 <br />���:� �a � �3� <br />�«:�� �� � �'? <br />.., r- .., .. <br />�� <br />,sixx , �,� f; <br />���- R <br />��������� <br />,imry ...., srw �i <br />Utility Account No. <br />Permit Fr <br />! <br />Connection Charge�s) �s�ot <br />Total Fee 30 �0 <br />Sp�ciai Otility lh�, Ozdinaacy 1171-85 <br />wbr oaly 5179.00 <br />, <br />Signed <br />customcr <br />DESCRIPTION: Sewer District aena ���iee iz <br />! ot � Block <br />Monthly Sewer Service <br />P18t � .i-+• .s <br />� <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />fype Permit: rw oone�etion <br />Remarks: <br />IMPORTANT! <br />CALL 1�BOOd24•555548•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By 1►LFRau R 7716J►7� <br />Ciry Enpineer <br />" � \^ . 4 • '� �� <br />..�6_'r'!C'��- <br />Inspection By <br />Date Inspected G- ���, <br />Na. 25791 <br />I(�SP[CTIOiJ <br />