Laserfiche WebLink
everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />No. 25613 DATE �p — <br />Service Address Utility Account <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor4 <br />Bil{ing Name_ <br />Connection By <br />Address <br />Phone_ — <br />DESCRIPTION: <br />Lot » — Block_ <br />CHART <br />x �s-z9-a <br />�,�n�T To CNA.Q/�dG- l/5/B 7 <br />Permit Fee <br />• c1/BG lE4?PM OOQAMOb79 it�t <br />Connection Charge(s)� <br />9 <br />Total Fee B � _��l'� <br />OM. 1171-85 14.OD <br />�� 9�� t20.00 <br />!•72.50 <br />, ti�.00 <br />a'�k i30.OG <br />BFDIII t330.00 <br />1171--5 ib:9U.GD <br />Sewer District <br />Monthly Sewer Service <br />Ptat F-- <br />Unplatted Description Monthly Sewer Constr. <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1$00�424•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 2595811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Trunk�� <br />Lateral • <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />ineer <br />Issued By <br />� <br />Inspection By� � � <br />Date Inspected �� � 3' S � <br />INSPC-CTION <br />No. 25613 <br />