Laserfiche WebLink
CHART NO. <br />everetl <br />e <br />City of Everett <br />a_sT -1-0 !Rosn tNJ <br />Sewer Application and Permit <br />NO. 27222 DATE Juno 1s, long L <br />Service Address 403 73nd at. BE Utility Account No. <br />Billing Address 2721 116Lh st sr <br />City, State, Zip mmrett We dams <br />Owner (Mortgagor) Great, my con-t- <br />Billing Name a� <br />Connection By Sane _ __— <br />Address 9.2m sz,� <br />Phone 137-71r,1 <br />DESCRIPTION: <br />Lot 5 Block <br />Plat Carol.de Crev. <br />Unplatted <br />Type Permit: Now Connection <br />Remarks: <br />IMPORTANTI <br />CALL 1-800424.555548-HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Permit Fee 30.00 <br />Connection Charge(s) 600.00 <br />Total Fee 30.00 <br />Utility Development Pee Ord. 1171-65 <br />water 179.00 <br />serer 471.00 <br />650.00 <br />Signed <br />Cutto"t <br />Sewer District — <br />Monthly Sewer Servi&6t22?t-- <br />Monthly Sewer Con iq1.06 l4S5.00 <br />W $45.00 <br />Trunk Ij�f I Q0 f63.00 <br />Fti?Yirr— <br />Lateral 1 I i1.3i <br />l3�d <br />URVW" $20.W <br />Abutting Lot Line IUXr,6334 <br />N, S, E, W145U-00 ft. <br />UOt1027= <br />%40 l30.00 <br />FMD 1 56W.00 <br />1171-5 $650.00 <br />Approved By Ate R_t21MV, 1RRaT. <br />Cit1' !n " <br />Issued By Suev RA1.9an <br />Inspection By <br />Date Inspected F" / <br />NO. 27222 <br />INSPECTION <br />