Laserfiche WebLink
,--w <br /> CHART NO. <br /> everett <br /> e _ � <br /> � S���r ro csrA�T..�� ///Z�f/sL <br /> City of Everett � <br /> � � <br /> S�wer Application and Perr�it � ,, � � � � ; <br /> 25905 � � � � � � I <br /> N0. DATE r..�w,.r i�,_�_ � � r� <br /> � <br /> Service Address 1121s 19th Ave. S.k. Utility Account No. <br /> Billing Address g� Permit Fee 3n p� <br /> j City,State, Zip s+r.�+.ct, as � oe�n� Connection Charge(s)_ avn.pp <br /> I <br /> V Owner (Mortgagorl Edwarc J. Diyszkorsk� Total Fee_ �o_nn <br />! <br /> Billing NamP sa.. SP�� dtility la�; ordinane� 1171-85: �471.00 <br />� Connectian BY 9taa 8ola <br /> C / <br />�' Address Signed <br /> I- customer <br /> Phone_�sa a�� Eky,,.�„�; <br /> DESCRIPTION: Sewer District_ I�nr�.1 Ii � <br /> Lot Block_ <br /> Plat_ h'ionthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: trew Corv�ecl..ion Trunk <br /> Lateral <br /> Remarks: Paia Gy LZD 71l Ac�r.:eme�t. FSai). <br /> Abutting Lot Line <br /> i.nvalce ?or side serer. constru^.ticn (sigr�eJ by N, g, c, vy ft. <br /> 1eya1 pz•operty oWner? befo�e 11/zl/ti6 to: <br /> L'elia Stror�n <br /> 32[iU CecE<.: St. r�l�"riEL' ti. 7Fk��L <br /> Approved By <br /> EVCTCCt� HA 9b20: ciryenyineer <br /> IMPORTANT! Hac;aret f., �wLeod <br /> Issued By <br /> CA L L 1-600-4245555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 2595811 FOR IMSPECTION � <br /> Inspection By � <br /> Date Inspected ���(lDF <br /> SEE SKETCH ATTACHED No. 25905 <br /> i NSPECI'ION <br />