Laserfiche WebLink
� CHART NO. <br /> everetl <br /> � j�t,vT %o CF9�CT�n/!r �3�8 7 <br /> City of Everett <br /> �ewer Application and Permit <br /> N0. 2S6SO DATE � <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee <br /> City,State, Zip Connection Chargels) 720-00 <br /> Owner (Mortgagor) Total Fee_ 30 00 <br /> Billing Name sp�aial 9�war Faa� Ord 1171685 <br /> M�br 22�.00 <br /> Connection By Swwr 589.00 <br /> 813.00,� ^ <br /> Si ned ' <br /> d�ddress 9 c�>�o�� <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot�� Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: yw �,�� <br /> Lateral <br /> Remarks: <br /> Abutting L.ot Line <br /> N. S� E, W_ ft. <br /> Approved By , _ . <br /> c�: <br /> IMPORTANTI <br /> Issued By__Taa�— <br /> CALL 7�800-024-5555 48•HOURS <br /> PRIOR TO DIGGING <br /> CALL 259�8611 FOR INSPECTION <br /> �� ��- <br /> I nspecti o n���.� <br /> Date lnspected�7�� <br /> SEE SKETCH ATTACHED Np, Z56HQ <br /> Ii.�PGCT10id <br />