Laserfiche WebLink
CHART NO. <br /> everett <br /> � ' <br /> City of Everatt <br /> Sewer Appliicati�n and Permit <br /> NO. ``��1� DATE J� I6, 1!K <br /> 1615 �dqwooc L�w� <br /> Service Address Utility Account No. <br /> Bi!ling Address lfi!11 C[ i�.. Permit Fee �'� <br /> City,State, Zip ��' �• „� Connection Charge(s) <br /> Owner !Mortgagor) HotlNir: � h�r� Total Fee �"� <br /> Billing Name Osdia�nw 1171-a.S <br /> 1at�r 221.00 <br /> Connection By � � <br /> Address Signed ' !. ,� � � � � . - <br /> Customer <br /> Phone ���=a <br /> DESCRIPTION: Sewer District s°°d II <br /> Lot � Block _ <br /> %at ��-�0°a Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: 1fw t�woliaa <br /> Lateral <br /> Remar{cs: <br /> Abutting Lot Line <br /> N, S. E, W ft. <br /> Approved By A' �• �� <br /> CitV Engineer <br /> IMPORTANT! z. b� <br /> " Issued By — <br /> CALL 1�06�424•5555 48•HOURS <br /> PflIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECTION / <br /> InspectionBY-- 'f`�/'"'�""' <br /> Date Inspecied � � G —� _ <br /> SEE SKETCH ATTACHED No. 25416 <br /> I NSPEC'fION <br />