Laserfiche WebLink
CHART NO. <br /> everett <br /> StNT TO CNAR%�'��v /Z^ 2/-8'7 <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> NO. �Ssv9 DATE 3 I 6 <br /> Service Addrest�� L ��a �'/��tility Account No. <br /> �-^ �/ I �� D <br /> Billing Address c ��/ �Ql� �'J'-��ermit Fee / <br /> � G;Q'�7 <br /> City,State, Zi� "', �� ,711C-�'� Connection Charge(s) <br /> Owner (Mortgagor) � Total Fee � — <br /> Billing Name ' <br /> � <br /> �,/ � ' i .�� � <br /> Connection B�i � ����t/����rr.� ; �� ;''�1 j ,� , ; <br /> Address - � C► Signed � `, �n�"::'=': - <br /> � �� cu:tomer <br /> Phone ' _ ' - 7 f <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description � � �� �' ��_" � ' Monthly Sewer Constr. <br /> Trunk <br /> ' Typa Permit: <br /> Lateral <br /> Remarks: � <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Enyinett <br /> IMPORTANT! i ! <br /> Issued By _ <br /> CALL 1�800�424•5555 48•HOURS <br /> PRIOR TO DIGGING /' <br /> CALL 259�8811 FOR INSPECTION / � /�-- <br /> i_.. _ d <br /> Inspection By L%� 9 <br /> Date Inspected S-r'�G <br /> SEE SKETCH ATTACHED No. 25569 <br /> I�SP6CTION <br />