Laserfiche WebLink
i- <br />everett <br />� <br />City oi everett <br />L`� <br />} <br />0: <br />Y <br />� <br />�� <br />� o0 <br />� T. <br />u� a+ <br />Sewer� Applricatior� c�nd Permit <br />NO. ZTr33H <br />� J 3 �2 <br />` .J t y� July 17, ]9�0 <br />DATE "' <br />, <br />Se�vice Aajrlres>_F,_4'.:�.a� ���� <br />Billing ArJdress =�+�_. <br />City,:i�tzte,Zip_�:rnkssr'3�._°Ei101 — <br />O�vner (Mortgayorl_Pi:�a:c3rYialt� <br />��Iling Name_ G� <br />Connection By p�- <br />DESCRIPTI i�N: <br />Plat — <br />Unplatted Ciescr <br />Type Permi'c: <br />Remarks: <br />CHART NO <br />Utility Account No._ <br />Permit Fee in nn _ <br />Connection Charge(s) <br />Total Fee IQ,nn <br />Signed <br />Cusromer <br />Sewer District <br />Block Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk _ <br />IMPORTANT! <br />CALL 1-800-024-5555 48-Hi�URS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPE��TION <br />SEE CKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By I <br />Ciiy Engineer i <br />Issued By St'�}' Fiaug`� I' <br />--(`� <br />Inspection By�� <br />Datelnspected ��"�' r� <br />INSP[CTION <br />No. 2�838 <br />