Laserfiche WebLink
.. CHART N0. <br /> everen <br /> � � �l � <br /> .2 <br /> � jC��r i� /'i.,F,/'-rY.�S �ZS� n' <br /> � <br /> City of Everett � � <br /> iF. p <br /> c K <br /> ci <br /> Sewer Ap�lication and Permit � .� a� � � <br /> � � , � � <br /> :.� � . � .. � <br /> 25969 " � �"� <br /> N0. DATE w+..�a+- » �� _ <br /> Service Address 11317 — 19L l��e SE — Utility Account No.__ — <br /> Billing Address S� Permit Fee zp_pn <br /> City, State, 2ip Eter�tt. Wi► 9820� Conner,tion Charge�s) 3.3p�� <br /> Owner (Mortgagor) Orri21� lltlson Total Fee 3p,nn <br /> Billing Name � Dovelopment Fee: Ordinanx 1171-85: 5471.00 <br /> Connection By �tt:Lt �mrt�a�r'ion <br /> Address Signed _ <br /> Customer <br /> Phone a'+�—^72z (u�i.e..l <br /> DESCRIPTION: Sewer District a.,a i== _ <br /> Lot Block <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk I <br /> 'Type Permit: n S ver Lalce LZD <br /> Lateral <br /> Remarks: p�d }yy yip �19 11qrMaent. Nail in�oice for <br /> Abutting Lot Line <br /> �id� �ewer oonetractiaa (s! b le al rt N, S, E, W ft. <br /> ornar) balore 11 21 86 W: Celie Stro <br /> 3200 Cadar Stzeet <br /> Etroratt, MA 98201 <br /> Appreved By Ar.rtun x. �±°,r. <br /> ary-`�y�nser <br /> IMPORTANT! <br /> Issued By t�arQarat s. Nc�Iaod <br /> CALL 1-800-024-5555 48-HOURS <br /> PRIOR TO DIGGING <br /> CALL 259-8811 FOR INSPECT�ON t� <br /> \ <br /> Inspection By �� <br /> „_ Uate Inspected �(.�iL� <br /> SEE SKETCH ATTACHED No. 25969 <br /> I�iSP[CTI ON <br />