Laserfiche WebLink
CHART NO. — <br /> everett <br /> �,�- f' ��''�'�' S'��g <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. `v�`8 DATE ectob.r 3n. i9a� <br /> Service Address � Utility Account No. <br /> Billi�g Address Permit Fee y.p,�� <br /> City,State, Zip Connection Chargels) <br /> . ��— <br /> Owner (Mortgagor� Total Fee_ �.p � <br /> Billing Narne <br /> Co�nection By <br /> Address Signed <br /> . . Custnmer <br /> Phone � +«� <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service — <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Permit: <br /> Lateral <br /> Remarks: p`'� <br /> Abutting Lot Line <br /> G� N, S, E, W ft. <br /> �,(P 1Uf30/tYf i1:4'!iu'� uUOfli{S'858 ttY2 <br /> 4�w � <br /> iiWQrGv2tt <br /> N 5E1JEk 410.(l0 <br /> � Approved By " , <br /> � <br /> IMPORTANT! <br /> �3 �� iss�ed av <br /> CALL 1�800d24-5555 48-HOURS ' <br /> PRIOR TO DIGGING !' <br /> CALL 259�8811 FOR INSPECTION <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACHED Np, �v�Lo <br /> IhSPECTION <br />