Laserfiche WebLink
everen <br />e <br />City of Everett <br />Sewer Application <br />N0. ����� DATE <br />,= <br />� <br />- `_ :_J '� Jl ^ (�" ^. <br />�'� J <br />� �' l>7 G� '�O :Y �ii � <br />' : l!) � i '.(J .h —� f <br />.. „ . y,. v: r: ... <br />N <br />and Pe�mit __ _ <br />: , �, _, �- <br />� ,�. - :� t ? <br />� __�.``u�="_•s <br />,�; t� . .� ..., � ._ <br />July-1-0,�1909 <br />Service Address G1G s� t st sw <br />Billing Address �� — <br />City, State, Zip�.,�,,;���gg — <br />Owner (Mortgagor) K,r,g ���;�e�6 <br />Billing Name �---- <br />Connection Bv � — <br />Address <br />Phone - <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Description <br />Type Permit: <br />Remarks: <br />Block — <br />IMPORTANT! <br />CALL 1-800424•5555 48�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />1, SEE SKETCH ATTACHED <br />�U - <br />CHART <br />Utility Account No. <br />Permit Fee 30.00 <br />Connection Charge(s) 110.00 <br />Total Fee 4Q 30.00 <br />Otility oevelopmant Pee Ord. 1171-85 <br />�eti �rater 179.00 <br />aexer 471.00 <br />650.00 <br />Signed <br />Customer <br />Sewer District a�u Z <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Trunk 110.00 <br />Abutting Lot Line <br />N. S. E. W <br />Approved By nLFREL R mti t <br />City Engineer <br />Issued By c i <br />L��� Y/L <br />C����e�'LY <br />C ����70~ <br />K r_,., �i �� <br />Date I <br />!iJ:;rL::::1!OP! <br />��� <br />No. 27246 <br />