Laserfiche WebLink
CHART NO. _ <br /> evereri <br /> e �� - _ - <br /> � � J <br /> City of Everett <br /> .SE,dT To !'.%9,�7'i.dG <br /> Sewer Appli�ation and ��rmit s/';�8� <br /> No. 25583 DATE _�/ '%f`'�r' _ <br /> ,� _ , <br /> Service Address � � �� %' - �� ' � �� �-� Utility Account FJo. <br /> Billing Address � --' ��" '- - �/-� ' ,//% �_ � �'� '� Permit Fee � � �� <br /> , <br /> City,State, Zip '� � �' � ' ' � -r-��= � ' � J ��'�'� �!' �/��Connection Charge(s) - � } �� <br /> � ' <br /> Owner (Mortgagor) j ! � � .� - ' � �_ ' ' � Total Fe.e �— � 1 <br /> Billing Name 1 '— _ i` }` � ` , . i . , .� <br /> � �—� <br /> Connection By �� '' � <br /> Address Signed- �4 - 1 ��� � ' � '•' � � <br /> � � CustOmer <br /> Phone ' .' i - . ,' _. <br /> -_--- <br /> DESCRIPTION; Sewer District ^ %' ' <br /> Lot i j' Block <br /> Plat �� "' � � � .�Ly Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: )�� Trunk ^ _ <br /> �� <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � � <br /> APProved By ' •� <br /> Ciry Engineer <br /> IMPORTANT! <br /> Issued By , � %-* ,. .'-'' - <br /> CALL 1-800�424-5555 48�HOUAS / <br /> PRIOR TO DIGGING <br /> CALl259S811 FOR INSPECTION • <br /> Inspection By r� <br /> Date Inspected ll � � y��C <br /> SEE SKETCH ATTACHED No. 25583 <br /> INSPGCiION <br />