Laserfiche WebLink
everett <br />e <br />c�ev o, e�erecc <br />Sewer /�►pplicction and Permit <br />N, 259�.4 DATt � �rasb�-6 7986 <br />Service Address_ �]16 qr 5 G Utility Account <br />Billing Address ia�no .. �.r i... dc — <br />City,State,Zip � SS� � °R7Ss <br />Owner (Mortgagor►_ ^.,.. �'^�«' �t`� <br />Billing Name_ � � n �*� *�u�� <br />Cannection By__ -- — <br />Address_ <br />Phone _-- �6: •p1+� <br />DESCRIPTI ON: <br />Lot _._ Blor,k_ <br />Plat � __ — <br />Unplatted Description <br />Tvpa Permit: �cp Cunnectlo:� <br />Remarks: <br />CHART NO. -- <br />Sr:�� �r !%%�: .- ,�i:- i , �%,•g � <br />Permit Fee__ 30.^^ — <br />Conrect�on Charyels) 4 330.00 __ <br />Tqtal Fee_ 30.00 __ <br />Speolal utility Yee, Ord. 1171-n�, p171.00 <br />Signed_ ___— __� — <br />c�,�o�� <br />lnvnice for sic'� srwer ce��aiructir.n (�iaxd '�__ <br />1L�]ai�In{�C��ty �,n�.:i t�•1-_�CP ]1/il/b�� .C: --- <br />_,i� f :�.. :t.. — <br />F.VCIPtL� 1fA ?i•:l'•1 <br />IMPORTAMTI <br />CALL 1�800-024 �555 48�HOURS <br />PRIOfl TO LIGGING <br />CALL259�8811 FOR INSPECTION <br />SEE CKETCH ATTACHED <br />Sewer District�,,��.��—.----- <br />Monthly Sewer Service__—_—.__--- — - <br />Monthly Sewcr Constr. <br />Trunk_ _ <br />Lateral <br />Abuttiny Lot Line <br />N,S,E, W <br />r�i.' .. . I�.i .._ <br />Approvod By_ --- <br />Ciry Enpmeer <br />��11,.:'.U'� t.. ��,:L c.� <br />' Issi�ed Bv — — <br />Inspection By_==Z�'EZR�! — — <br />Datelnspected�6 B�� <br />No. 25914 <br />I�:. : C�' ilt.�, <br />