Laserfiche WebLink
i <br /> CHART N0. I <br /> everett - 1 -' '% '`.. �� - = � <br /> �% <br /> e <br /> City of Everett <br /> Sewer Application und Permit <br /> N0. �vS�o DATE �y=c!c 9, }�8 — <br /> Service Address =p02 AcoMi��— Utility Account No. <br /> Billing Address_+�+ * �--+ Permit Fee �.� <br /> City,State, Zip �•---�t, 011 M'Oi Connection Chargels) <br /> Owner (Mortgagor) . �-�� �� �---�M Total Fee � — <br /> Billing Name .--- sp�elal tttilitr ?'�a acd. 1171-IIS <br /> �t�r SI].1� <br /> Connection By Mwr 1357.6Z <br /> I667.tl6 <br /> A�� Signed <br /> �� cu:tomer <br /> I <br /> Phone � <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unpletted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral �1ii88 l0ayhpN Q@1AH9612 ik:tt <br /> -- / <br /> Remarks: Nfki(N5�412 <br /> Abutting Lot Line��,�,,�, ��4 � <br /> N, g, E, yy ft. <br /> ucxxk�s�z . . <br /> ��cwrF a:n.t�i <br /> u�t-s �i��.as <br /> uou�xr�sz <br /> Approved By <br /> � <br /> IMPORTANTI F11.Po 42AT7.',A <br /> Issued By_�t}}�ay <br /> CALL 1�800324b55548•HOURS ` <br /> PRIOR TO DIGGING � �� �'� <br /> C 5Rf, t]S.f10 <br /> CALL 259-6811 FOR INSPECTION t� 4� �- .S`4 <br /> Inspection By <br /> C1ate Inspected ��" 3 "� <br /> SEE SKETCH ATTACHE�D N0. 26568 <br /> INSPECTION <br />