Laserfiche WebLink
e���erett <br />� � <br />� <br />a <br />City ot Everett � 4? g� �L' � s, � 4 g�2 <br />3 �O C:�C �~n:7 � � � _^,'� <br />�' � �.�. «. .� « a ... :i r� <br />M <br />O, � 1 � <br />Sewer �pplicatio�,�d P�rm� � : ; <br />�: <br />•V C: ��y.t �T ti . �^� . <br />f, f � l� ��.J C� � 1:\ '�:] J.�. r��:� <br />2�6788 ' =�i�;y�=_� -�� <br />NO. DATE �s.' ,. ^ <br />Service Address�p}� • <br />. ! �; ..; – :o: � r�( .) t <br />Billing Address � `��,��-'�r �' <br />City. State, Zip���l�gg� `r F=(i 1 -- <br />; ;Si. : L U.t > r _,tl �_ , l <br />Qwnei (Mortgagor)_ <br />Billing Na <br />Connection By_��7—,� -- ^`"'� " <br />� <br />Address rt�— <br />� __ .�,. , .�1; <br />Utility Account <br />CHAR7 �VO. <br />�r. <br />vr <br />ti <br />H <br />� <br />J <br />n <br />Permit Fee . -- <br />Connection Charge(s) __--- <br />l'otal Fee . <br />Utillty Developsant Fa� O�d. 1171–ES <br />�rater �� 2Z�.00 <br />��= 589.00 <br />913.00 <br />Signed_ � <br />Customer <br />DESCRIPTION: Sewer District 9^^A rT' <br />Lot e Block Monthly Sewe� Service <br />Plat <br />U�platted Description Monthly Se«er Constr. <br />Type Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-024•5555 43-HOURS <br />PpIOR TO DIGGING <br />CALL 2596811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk_ 2�0 00 <br />Abutting Lot Line <br />N, S, E, W <br />•. . �.: <br />� _ .�.,. . : :+.� <br />issued By_� <br />Inspection By_ <br />Date Inspected_. <br />INSPECTIO� <br />_ __ __ _ - <br />N0. 26788 <br />_ 'I <br />