Laserfiche WebLink
CHART <br />everen <br />� . - <br />City of Everett <br />Sewer Application and Permit <br />N0. 25S6O DATE __�:���� L_ <br />Service Address '—=-`-1 ���� '�S� Utility Accowit No. <br />_ ;,� ; ,. �� <br />;,��� <br />,�,.. _ <br />Billing Address �' t Permit Fee �/ � <br />� Connection Char els) � � <br />City, State, Zip � - -' ' 9 <br />. <br />Owner (Mortgagor�. Total Fee <br />Billing Name_ ' <br />Connection <br />, % � <br />Signed _ - %' � <br />' ' CuslOmer <br />DESCRIPTION: Sewer Districc -- <br />Lot i Block <br />Alonthly Sewer Service. <br />Plat <br />Unplatted Description Monthly Sewer Constr. <br />Trunk ����� �_ <br />Type Permit: <br />Remarks: <br />IMPORTANTI <br />CALL 1-800-024-5555 48•HOURS <br />Pf�IOR TO DIGGING <br />CALL 259E811 FOR INSPECTION <br />SEESKETCH ATTACHED <br />P.butting Lot Line <br />N, S, E, W <br />4pproved By <br />City Engincer <br />Issued Bv "� <br />✓ <br />Inspection By. <br />Date I nspected G � � ` <br />No. 25560 <br />I I�'SPGCTI ON <br />