Laserfiche WebLink
� CHART N0._ <br /> everett Sc,vr r�� ca�.er�,�� iz- a��7 <br /> e <br /> City oi Evaron <br /> Sewer Applieation and Perrn�it <br /> No. 26199 DA7E ��12. 14l7 <br /> $srvice Address_ Lil r�+ �__ Utility Account No. <br /> Billing Address � e � 1R+ Permit Fee._ <br /> ]0.00 <br /> City,State, 2ip r.�c.s- d ��s Connection Chargelsl n�'� <br /> Owner (Mortgagor►_ � iehl.q�L Total Fee ��'� <br /> /p�e1�1 Otilil7 1M�r O�d. 1171-iS� <br /> Billing Name __ wt�r 17f.00 <br /> Nwr 171.00 <br /> Connection By �o'���j � <br /> Address Signed �% 1 �' <br /> cu+tomer <br /> �IOII! j��-���• _ <br /> DESCRIPTION: Sewer Distr°ct �.-� ** <br /> Lot � _ Block � Monthly Sewer Service <br /> Plat �--- � <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Typa Pe►mit: t1w Oom�otl�a <br /> Lateral <br /> Remarks: <br /> Abutting Lot line <br /> N, S, E, W— ft. <br /> — Approved By_�� <br /> iry nqmeel <br /> IMPOHTANTI <br /> Issued By <br /> CALL 7$00-024-5555 48•HOUFS <br /> PRIOR TO DIGGING <br /> CALL 259-8817 FOR INSPECTION .� <br /> Inspection B�• � <br /> Date l nspected %�'��'J �d � <br /> SEE SKETCH ATTACHED Np, 26195 <br /> i;�s�>E_c��ora <br />