Laserfiche WebLink
i' <br /> � <br /> I <br /> i <br /> CHART N0. � <br /> everett � <br /> SET�T `T� c_ NA,2�i�Jc-,, <br /> � � r z�—�q <br /> City af Everett <br /> Sewer Application and Permit <br /> NO. Z I Z3V DATE _.�s1�2: �aEls <br /> Service Address >>a» �n�h a eG Utility Account No. <br /> Billing Address Permit Fee 30.00 <br /> Connection Chargels) :50.00 <br /> City, State, Zip — <br /> Owner (Mortgagor) � � -� Total Fee 30.00 I <br /> (Silvar I'ieach itesort Tavern) prdiaance 1171-GS:Nona oving <br /> Billing Name aewer only 1,635.92 Credit for $1,934.15 <br /> (baaed on 52 aeata) paid in service fees <br /> Connection By — Ho balance ovinq on Dc+velonm�tnent Fee <br /> Address Signed I <br /> Customer <br /> Phone 33�'II912 <br /> I DESCRIPTION: Sewer District �o�sd Ii= <br /> Lot Block Monthiy Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk min�:iuo�Oc IViCIRR=. ';'; � *t:s <br /> Type Permit: rzev connecCion of existi / <br /> Lateral 3tilf'a1=�'"��•Aone <br /> (cllver Lalco LID. de• r¢lNl:' 33D.110 <br /> Remarks: <br /> Abutting Lot LineN�+fYI'[I xi50.ff� <br /> N. S,I�,�Wra�:��i,���s�,�.t;ii rc. <br /> , <br /> IApproved By TLFRED R Tli�AI. <br /> City Engineei ' <br /> IMPORTANT! <br /> Issued By Har��*Qt E HcLeod <br /> CALL 1-800-424-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> ///�. <br /> CALL 259-8811 FOR INSPECTION / �/ / <br /> Inspection By.�G "�' <br /> Datelnspected � ` <br /> SEE StCETCH ATTACHED No. 27236 <br /> IN�P�CT10N <br /> � I <br /> i <br /> � <br /> i <br />