Laserfiche WebLink
everetl <br />e <br />City of Everett <br />� <br />� <br />�$�'+c�u�i <br />� .�ui�oa <br />-1 M ti N <br />� N � W 4T <br />Sewer Application and Pe� _ <br />� ������ <br />25715 mW��� <br />N0. DATE �yA� 25, 19lB <br />/5��� <br />Service Address �� -��,�; _ �� <br />Billing Address <br />City, State, Zip_���� y� p].� <br />Owner (Mortgagor) <br />Billing Nar.ie <br />Connection Bv <br />Address <br />Phone �} �� <br />DESCRIPTION: <br />Lot �� Block <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1�800-024•5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />CHART N0. <br />j��/T Tc� C/1ReT��G �/S'/8% <br />Utility Account No. <br />Permit Fee_ <br />Connection Chargelsl.�— <br />Total Fee— +.+ ..�. <br />Ord. 1171-85 224.t10 <br />Signed ' <br />c�:mme. <br />Sewer District _ <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />I Approved By <br />E <br />Issued By <br />Inspectian By��.'�"�""/`- <br />Date I nsoected ��- 3 - � � <br />INSPECTIOiV <br />No. 25715 <br />