Laserfiche WebLink
evere'tt <br />� <br />City ot Fverett <br />I! Sewer �1p�alication and Permit <br />CHAZT <br />�- -'�n , , ,., J�_rr,.-?p <br />' �-. � ` <br />No. 26715 DATE __T�,o._,_r�9s�e L— <br />Service Address�p�12,:�-3rd-��-s� - Utility Account No._ <br />Billing Address +o++ • �4Yh i1191 — <br />City, State, 2ip�� <br />Owner (Mortgagor) � � <br />Billing Name <br />Connection By <br />Address <br />Phone�;���; - <br />DESCRIPTION: <br />Lot �s Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />{�Emarks: <br />IPAPORTANT! <br />CALL 1-SOOd24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8671 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit <br />Connection Charge(s) <br />Total Fee <br />Special KlcYZ2gK Otility Fce ord. 1171-85 <br />nrater 179.00 <br />s¢Her 471.00 <br />� ja50. 00 ; <br />Signad ' ! <br />Cusiomcr <br />Sewer District 9ond IZI <br />�vlonthly Sewer <br />Monthly Sewer Constr. <br />tv i'� _ _:�,*Fi tuliWNfl"lt iL;: <br />Trunk <br />i..� �, p � � v,_. <br />Lateral ,�_. ��� <br />Y:� ��.Uu'� i;'�� <br />Abutting Lot L'+ne�.i'; Lf' :<'U.(p! <br />N, S. E, WIND111 s�'�i "�� ft. <br />llil-`,i 5650.bU <br />�Nl�� ll l Fii <br />;!.I�li �=.tilii�.Ul1 <br />f-I.:�t, :��'�.tR] <br />Approved By '�' '�" l <br />• �, �er x; ..: 1 <br />�. `��1'�� '•jJ.�'� <br />Issued By � "'�" '��1.tW <br />t:l td k i•i..7f�.50 <br />Inspection By <br />Datelnsuected � � <br />No. 26715 <br />I:��� ,,f �' i I' '� �. <br />