Laserfiche WebLink
cl <br />MW <br />CHART NO. T / 9.2 q -� <br />Lei - - - <br />City of 'verett <br />Sewer Application and Permit <br />NO. 26980 DATE 1/ - /� 8 S L <br />Service Address /2 6 Z 6'e -? tied Utility Account No <br />Billing Address <br />Permit Fee <br />City, State, Zip <br />Connection Charge) <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection By -- <br />Address Signed <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descripti <br />r.._.. o...—I <br />Block — <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />"I-. -....--- <br />Remarks: P L w cMjMPORTANTI <br />d,1 <br />CALL 1-800-4245555 48-HOURS <br />PRIOR TO DIGGING <br />CALL 259-881 t FOR INSPECTION <br />SEE SKETCH ATTACHED <br />Lateral _— <br />Abutting Lot 'Line <br />N, S, E, W <br />Approved BY <br />Cily Engineer <br />Issued <br />Inspection By��"�� — <br />Date Inspected <br />No. 26980 <br />UTILITI' BILLING <br />