Laserfiche WebLink
everett <br />e <br />Cky of Ewrett <br />Sewer Application and Permit <br />No. 26411 <br />DATE ��_� <br />Service Address S�� ��py -- <br />Billing Address <br />Ciiy, SUte, <br />Owner (Mortgagorl_ <br />Billing Name <br />Connection By ���``� A� V X • <br />Addreu <br />DESCRIPTION: <br />Lot Block <br />CHART NO. � ' �=–Z �^� <br />�`/c'3�j Pcs-r=-� • <br />R�G <br />UtiGty Account Nn. <br />Permit Fee — <br />Connecticn Charge�s) -- <br />Total Fee_ — <br />Sig�ed <br />Customer <br />Sewer District_ <br />Monthly Sewer <br />Plet <br />Unplatted Description Monthly Sewer Constr. " <br />Trunk <br />Typa Permit: 19A1 <br />�^r —� Lateral <br />Remarks: <br />iA o�0 � o� <br />� �, <br />w <br />//'1� �L, � <br />r <br />� n .�! -�._.__ S _Qj��'1f� <br />U '� <br />f{YiPORTANTI <br />CALL 1�SOOA24•5555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259�611 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approt�ed 9y <br />City Enginev <br />Issded By o N /�') r J(� � <br />f t. <br />�Inspection By � �/ <br />Date I nspected �d ' S 8 8 <br />No. 26411 <br />U-1L1 � `( �ILLING <br />