Laserfiche WebLink
everen <br />e <br />City of Everett <br />Sewer /�►pplication ond Permit <br />No. 2G259 DATE _�1y �, 19a� <br />Service Address �g��}�}.p���,�.- <br />Billing Address �» 136th Pl 8M <br />City, State, Zip_ i+1►nsvoea• 1�► 9t077 <br />Owner (Mortgagor) � i Soe� tba�t• Cbrp- <br />Billing Name %+� <br />Con�ection By $� <br />Phone 715-970� <br />DESCRIPTION: <br />Lot Z Block <br />Plat � ��l�z Tlat <br />Unplatted <br />Typa Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800d245555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />Permit Fee 10.00 <br />Connection Charge�s) ':20.00 <br />Total Fee � ]0.00 <br />1p�elal Dtllit� Iw. 0[d. <br />Mat�r 179.00 <br />wwr 171.00 <br />6.50.00 <br />Signed "'`� <br />Cusromer <br />Sewer District aena <br />Monthly Sewer Service _ <br />Monthly Sewer Constr. <br />Lateral <br />AbuttinN LS t E��p�l27/Bi �=58FM tXJOA%G32! i�k2 <br />�� : <br />ia]0026254 <br />� aao.00 <br />F�O II f720.W' <br />Approved By_� ��!-5 lb50.W <br />� a <br />tX.D i t45Y.50 <br />Issued By �' ��.� _ <br />r..�....� c- -r.r�..� <br />R SRl:I { i1��. �`i) <br />E "�RClI./l �15,40 <br />Inspection <br />Date I <br />INSPECTION <br />No. 26259 <br />