Laserfiche WebLink
� <br /> � <br /> � <br /> � <br /> CHART N0. <br /> i �verett <br /> � J `fb F�:>::�T7 NCo <br /> + S-'�e'90 <br /> � <br /> City of Everett � $ "8 <br /> � No :.� <br /> :', <br /> : <br /> Sewer Applicafiion c�d Perr�it � ` ` <br /> - � � �� s :. <br /> �'`c r^; _ ..' ` La , <br /> N0. ��vvo DATE �rch 19, I�90 <br /> Service Address �» – »>*� e�.gg Utility Account No._. <br /> Billing Address Permit Fee 30.00 <br /> City,State, 2ip vn,....it, n. gaZpn Connection Chargeis) <br /> Owner (Mortgagor) �^t..r...�.. r_ � ci.�... c ..��.�.�y�Total Fee 30.00 <br /> Billing Na:ne ��s. <br /> Connection By ��-+� �+�*•�+ruciSon <br /> Address S igned <br /> c�s,on,e, <br /> Phone <br /> DESCRIPTION: Sewer Dis'rict <br /> Lot _— Block I <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: t�ev connectioe of exislin homa <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> �pproved By J�i.�t�a R. 'rnEnL � <br /> City Engineer <br /> IMPORTANT! <br /> Issued By ���t s. NcLeo� <br /> CALL 1-800-024-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-6871 FOR INSPECTION � ! � �/�% <br /> / � '�� /j" <br /> Inspection By�� <br /> i , V <br /> Date Inspected � '�l . <br /> SEE SKETCH ATTACHED NO. Z766O <br /> INSP[CTION <br /> I <br /> i I <br />