Laserfiche WebLink
everen <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART <br />��it/T : o C.S�l,�.[Ti.r/G <br />a/S/ 97 <br />No. 25823 DATE �tgnit13..1�� �—_ <br />Service Address�.-� --�� ��tility Account No. <br />Billing Address�.}g�¢$K� �•,�eft-lq�r-/�— <br />City, State, Zip �► ►1 N.'. �IR032 <br />Owner (Mortgagor) <br />Billing Name <br />Connection BY <br />Phone �„ a+« <br />DESCRIPTION: <br />Lot � <br />Permit Fee �+�^�_ ;•-�-•• un:m;g&..a--.fi:Fi <br />Connection Charge�s) � <br />Total Fee_�y s`����p <br />OM. 1171-8� ,�ISQ13.00��;..� <br />c�uuv g•�o.ai <br />G Ski�l 31.;A1 <br />F. �'f�'H :15.l1� <br />Signed ���`,"�"' <br />c <br />Fdd) Lt €�7Q.OG <br />7171-5 SRl3.l10 <br />Sewer District_�T� ��-`-� •• <br />Monthly Sewer Ser�1534U;` . <br />Plat --- «-�' <br />�� _ Monthly Sewer Cor�:'�' �'1�•� <br />Unplatted Description ��.� �.�4.� <br />Trunk L�filR�'.� ,.,,�::U.OD <br />Type Permit: % � =i•� <br />Lateral F �� SiS.OU _ <br />Remarks: `1:idER � �'1�;.U(1 <br />— Abutting Lot Line1171-5 i�4.(�1 <br />N, g, E, W... __. ft. <br />4�1Tk:R 350. W <br />CN(:Lii i2.�iU.OU <br />INiPORTANT! <br />CALL 1�800-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Approved By <br />Irv er <br />Issued By <br />Inspection R� lo`-�� <br />Datelnspected /�-�-F�' <br />INSPFCT{G:J <br />No. 25823 <br />