Laserfiche WebLink
everen <br />� <br />City cf Everett <br />Sewer a4pplication and Permit <br />No. 26404 DATE S' ��'go <br />Service Address 7 a� 1 �°�!�-� �^ ' <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connec:lon By �— <br />Address <br />Phone <br />DESCRIPTION: <br />Lot Slock . <br />Plat <br />Unplatted Description — <br />Type Permit: R„l1,�,�� _ <br />��� ,_ <br />Remarks: q c d S �' � u-� °�- <br />��....:.. w�c� •4-o P/� c�•.F�. � <br />PVc /YJ �, ,,✓ �y" i� �s � ' <br />_, ,: � ., i � ,� �v, r-t <br />IMPORTANT! <br />CALL 1-800-024•5555 46�HOURS <br />PRIOR TO DIGGING <br />CALL 259-8811 FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Utility Account No. �!� ^ � ti q <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />Signed <br />Custort <br />Sewer District. <br />Monthly Sewer Service. <br />_ Monthly Sewer Constr. <br />— Trunk <br />� Lateral <br />�Abutting Lot Line <br />�� N S E W <br />Approved By <br />Ciry Engineer <br />I <br />I�spection By <br />Date 0 nspected 3 Z� ��� <br />N0. �_'.; . .i � <br />CUSTOitif-Fi CCi'Y <br />