Laserfiche WebLink
everett <br />e <br />City of Everett <br />Sewer Application and Permit <br />CHART N0. _ <br />, <br />SE�.Tic !f!�1.C:i,d[r / ��/ti��' <br />NO. `623� DATE L� <br />Service Address »n ���i' �la�l tiap Utility Account No. <br />BillingAddress g�-- PermitFee �g,pq <br />City, State, Zip gy��tt, y�� 9gZpd Connection Charge�s) �q43�6� <br />Owner �Mortgagor) �,qp Total <br />Billing Name � <br />Connection By s.■. <br />Address- sa� <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Type Permit: <br />Remarks: <br />Block <br />IMPORTANT! <br />CALL 1$00-024-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259�8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Sp�cial tTtility !�e O�Q. 1171-85 <br />wter C9.13 <br />aevrer 129.53 <br />179.6G <br />Signed <br />Cusmmer <br />Sewer District Hoad III <br />Monthly Sawer Service <br />Monthly Sewer Constr. <br />Trunk 884.�0 <br />Lateral 1u59.27 <br />Abutting Lot Line <br />N, S, E, W_ x_ ini ft. <br />iloi12it;7 ?tlfkltf f1ik7RN5GE30 tkk.l <br />i <br />•i1�i Y i i9i <br />Approved By Eb A . <br />rt EnBinF " ' <br />r �>ya� at.°a� <br />i: sr��1i 3i:;.w <br />Issued By s�yfs„a�aeu <br />.`A:�l1�' i.i0.f10 <br />I1�N�,IT aJ,4.+.07 <br />��i,d.�-11 ��?U..`a <br />I nspection <br />Date I <br />IRSPGCTI.;N <br />—� /—�/ <br />No. 26230 <br />