Laserfiche WebLink
eve►eNl <br />� <br />City of Everett <br />Sewer Application <br />No. 26481 DATE <br />� <br />ac� <br />�i � � Q <br />•C N.- :J M <br />N rt� M a� <br />� <br />and P��i�`� � <br />yµ'a. <br />� � �C� N: �� <br />� � ;E r 3 � U <br />! s:J-.. �r�:.l <br />D�+.b.e;,-ait-.� <br />CHART NO. <br />Cc'.li .—o e,y/�cr.l � /Z�z6�F "' <br />� Z <br />Cn �r <br />Service Address �S� E�ovt xea _ Utility Account No._ <br />9illing Nddress Permit Fee �n <br />City, State, Zip _ _ <br />Owner (Mortgagor) Trinity�isrooal. church <br />Billing Name <br />Connection By e& n*sesb�p wrw�n+ <br />Address �915 - 18oth Sta Lvnn� gBp36 <br />Phone_ ���-noi� <br />DESCRIPTION: <br />Lot_11�3.2__ Block ae9 <br />Pla: .y�y� <br />Unplatted Description <br />Type Pernit: pp o!! (deaolitiony <br />Remarks: <br />IMPORTANT! <br />CALL 1�$00-424-5555 48•HOURS <br />PRIOR TO DIGGING <br />CALL 259-6811 FOR INSPECTIQN <br />SEE SKETCH ATTACHED <br />G��� <br />Connection Chargel <br />Total <br />Signed <br />customer <br />Sewer District <br />Monthly Sewrr <br />Monthly Sewer Constr. <br />Trunk <br />Laterai <br />Abutting Lot Line <br />N, S, E, W <br />Approved By *..�.oen n �L <br />Ciry E�glneer <br />Issued By ��=qant Y llcLod <br />Inspection By <br />Date In�,�ected i1 -//-j7 <br />No. 26481 <br />IfdS°ECTIOfQ <br />