Laserfiche WebLink
� CHART N0. <br /> everett <br /> � ��Nr T-� ,:'•:�i`-r�tr %0�/S�Eb <br /> City of Everett <br /> Sewer Application and Permit <br /> �.•iae6 a,:5aan twoat��ti9 xtts <br /> No. 25684 DATE . <br /> ' c ;,� sz.so <br /> Service Address y211 - Lt Dr a Utility Account No. E �� �1F,OQ <br /> 1129 DseaBrii Permit Fee �� "U.� <br /> 8illing Address --�T7---;,.,?,,,Q-- <br /> City,State, Zip ��tt. N11 9a201 Connection Charge(s) �{'����� <br /> Owner (Mortgagor) *��� ���M Total Fee �F� �'�� <br /> SI:HEk S3U.C�} <br /> Billing Name �--- C}I�II] W33t7.0[t <br /> qiECK 3'ib4.Q9 <br /> Connection By �� <br /> Addreu 1 � are�r�.r x.+*�.++- tin oa�ni Signed_ <br /> Customer <br /> Phone 152-1166 <br /> DESCRIPTION: SeEver District Don4 III <br /> Lot 69 Block Monthly Sewer Service <br /> Plat m— ���1is Tit - <br /> Unplatted Description _ Monthly Sewer Constr. <br /> - Trunk <br /> Type Permit: � � <br /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved Ry �� � T� <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By Naraar�! E n1cl�od <br /> CALL 1SOOd24-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL259�H811 FOR INSPECTION � <br /> Inspection By <br /> Date Inspected��� /LL-s,. <br /> SEE SKETCH ATTACHED Np, 256H4 <br /> INSPECTION <br />