Laserfiche WebLink
everett <br />� � <br />� <br />City of Everett ��� a, �� f', '�a, �� a J <br />� Oi L? 'I S 'J ' � .-� �j U <br />Y7L•�++ :'I ,� � � �� <br />J ;ra � '� <br />Sewer Ap�licati4r� ci��d�Permit <br />_ � �, =� � �; <br />- �'��z����'���� - <br />����'�� ��`-���� <br />No. 27753U '' �� �� DATE ��: <br />Service Address �'v� , <br />Billing Address_p�. <br />City, State, Zip� , <br />, <br />Owner (Mortgagc�r) <br />Billing Name <br />Connection <br />Phone <br />DESCRIPTION: <br />Lot -- B <br />Plat <br />Unplatted Des:ription_ <br />Tvoe Permit: <br />CHART N <br />Sl�rii' ��os'�„u� 5-15 �9� <br />Utility Account Nu. <br />Permit Fee�� <br />Connection Charge�s) <br />Total Fee — <br />Ordiaance I171-Ei5 <br />�ast�sr 179.00 <br />seaer d71.Q0 <br />G50.00 �' ./ -'- <br />Signed �' ' � , � ' / -r � <br />- . � � � Cuslomer � . �Tj <br />IMPORTANT! <br />CALL 1-800-424-5555 48•HOURS <br />PF.IOR TO DIGGING <br />CAI_L 259-8811; FOR INSPECTION <br />SEESKETCH ATTACHED <br />Sewer District �£ - <br />Monthly Sewer Service <br />Ulonthly Sewer Constr. <br />1 <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />- I Approved By <br />Ciry Enginecr <br />Issued <br />�4���_ <br />Inspection By _ <br />Date Inspected �'�S 5' <br />rvo. 27753 <br />Ii�JS� �CTION <br />� <br />