Laserfiche WebLink
CHART NO. <br /> everett <br /> � <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. ``�g�0 DATE . <br /> Service Address �����. — Utility Account No._ <br /> Billing Address Permit Fee , <br /> City,SWte, Zip Connection Chargels) iv:4�P.� ^:3f�`H 004RHJ090 tt�t <br /> � <br /> Owner (Mortgagor)_ -----+ n---��-� — Total Fee .3.��nt^4tti <br /> k:LCd.i <br /> Billing Name E SRCFI l�1.5f! <br /> q�0259Bt1 <br /> � Connection By ''��R i"� <br /> u�oi:�v�i <br /> Address �igned �� <br /> ; c"t'.P?S+[;H 51.50 <br /> Phone — ������ <br /> 5[IkR 42.5[1 <br /> DESCRIPTION: Sewer Districi I�'�' t6 t�f# <br /> Lot�— Block�— Manthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> c� _ o� Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N� g� E, yy ft. <br /> Approved By <br /> �/1LE"�1 <br /> IMPORTANT! Issued By � �----- <br /> j CALL 1�800-024•5855 48•HOURS <br /> iPRIOR TO DIGGING <br /> I CALL 259�6811 FOR INSPECTION % <br /> Inspection By �"�— <br /> Date I nspected � -�� _y� <br /> SEE SKETCH ATTACHED No. 25980 <br /> ir:�r��ci-ion� <br />