Laserfiche WebLink
� <br /> � � <br /> everetl �CHART NO.fc�' 6 ' - d'- 5` <br /> e � ^ � : <br /> . _���� <br /> City of Everett -/.' ' /�/ti.�' <br /> Engineering & Community Services � <br /> Sewer Application and Permit <br /> NJ. �: ,' •`I i) i3 DATE ( ' ' %- J,� <br /> � — <br /> Service Address F' �� �� -�� .�-;:.- <br /> Utility Account No. <br /> Billing Address �f�� �� �✓ � �;�„�..� - � , <br /> Permit Fee ' si'.-� - , <br /> City, State, Zip�� ;i; . /�-� U � Connection Charge(s�_�_e <br /> Owner (Mortgagor) ' � _ %� L _ _ <br /> '�' �✓ Total Fee_ ` i-- > L_ <br /> Billing Name .�- <br /> � y � : � <br /> Connection By_ � / <br /> � ,��, .-�� <br /> Address— i / <br /> Signed_ � ! _.•.rA' ' ,,_' !_.-y � . <br /> Phone a„m�. <br /> DESCRIPTION: Sewer District_ � � / �_ <br /> � r.--•, <br /> Lot_ Block �,�.► <br /> Plat__ _ Monthly Sewer Service_ ' ' ,---� _ , <br /> Unplatted Description Monthly Sewer Constr. I <br /> Type Permit: / =,�:,' �_�. ,-, ;%�,�` Trunk_ L� • ='V <br /> Lateral .-.< . /D <br /> Remarks: �( 2_�r/" __ ._ " .5. S �" �_ <br /> u_�s�E <br /> ��y '�� A�« � � , G� L Abuttiny Lut Line <br /> ' . /� N, S, E, W__ ft. <br /> / <br /> APProvedBy • %c.�f�' <br /> Cny Enpmear �� <br /> . r � y' <br /> Issued By � .. �,.. , � <br /> Inspection By_�{-�-� .� • / <br /> —7`-- <br /> o -- -- Date Inspected < - i 'i — J :"r <br /> SEE SKETCH ATTACHED NO. � � . <br /> � : i <br /> � <br />