Laserfiche WebLink
evere„ <br />e <br />City of Everett <br />Sewer Application �and Permit <br />I N0. � `� � `� o OATE _II/2/65 <br />71� 106th Pl�o� B.E. <br />Service Address <br />� Billing Address 9�03 Ooll� M�y North <br />� S�attl�, N�. 9810� <br />� City, State, Zip <br />II Owner (Mortgagor) �Oh°°O° I°c. <br />� Billing Name <br />� <br />i, <br />� Connection By <br />� Address_ <br />CHART <br />y,%s,.9;: <br />�Sf,t��� iC [�!Jt'/'^,�'• <br />Utility Account No. <br />70.00 <br />Permit Fee <br />�30.00 <br />Conner.tion Chargels) <br />�0.00 <br />Total Fee <br />Ordinaaa� 1171-OS <br />Mebr 179.00 <br />9awaz �71.00 <br />650.00, <br />Signed_ <br />Cuflomer <br />I SZ7-71/7 <br />� Phone <br />pOtID III <br />� DESCRiPTION: Sewer District — <br />Lot 3 Block Monthly Sewer Service <br />Plat G�' � <br />IUnplatted Description Monthly Sewer Constr. <br />Typa Permit: <br />Remarks: <br />IMPORTANT! <br />�I CALL 1 s00d24-5556 49�HOURS <br />� PRIOR TO DIGGING <br />; CALL 2698811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />3]0.00 <br />1►. A. ih�al <br />Approved By <br />C�IY Eng�neer <br />$, 600E <br />Issued By __ <br />Inspection By__���� <br />Date Inspected Z -�'"��, -- <br />No. 25348 <br />ir.:'�!'i �.:�;(1.. <br />