Laserfiche WebLink
evereft CHART N0. <br />' e � <br /> � <br /> � <br /> � <br /> City of Everott i <br /> I <br /> Sewer Application and Permit � <br /> � <br /> I NO. 26639 DATE __Jnrt� to� �ma <br /> Service Address_ 1�� 100th St �N do 1 _ Utility Account No. <br />� Billing Addresz M� <br /> Permit Fee �n_nn <br />� City, State, Zip�satt, Ip� �g2p� Connection Charge�s) <br /> i Owner (Mortgagor) Ju�� Wtzla Total fce_�,p 00 <br />, Billing Name �� <br /> I <br /> Connection Py ■���onl�s � �r'�� <br />� Address Sl]S 7�lh !1. �t rrsy��� Sig�ed <br />� Cmtoner <br /> Phone aS9–B5B0 <br /> DESCRIPTION: Sewer District I <br /> Lot �R4 Bluck <br /> Plat Monthly Sewer Service <br /> I Unplatted Description <br /> PAonthly Sewer Constr. <br /> Type Permit: Trunk I <br /> �M,';Yl%8B t i e d�ykt OU(�iM[1191 t t 1.t I <br /> Lateral � <br /> Remarks: ItOf1��8T1 <br /> Abutting Lot Line��TEV td[I.UO <br /> N S E Wt11XJ1X183io ft. <br /> - .�. <br /> nu��.:n�,;v <br />� ��tarF� �io.a� I <br /> xnri�v��.z <br /> Approved By��771��� <br /> IMPORTANTI Id'1.:�1 ��10.00 I <br /> �l tS.Uf� � <br /> CALL 1�OOd24�666548-HOURS �ssued By 6���9en i <br /> PRIOR TO DIGGINC I <br /> CALL 259A811 FOR INSPECTION <br /> I <br /> Inspection By i <br /> — Date Inspected I <br /> SEE SKETCH ATTACHED NO. 26639 <br /> Ii�iCi'CC11!��PJ � <br />