Laserfiche WebLink
i <br /> CHAHT N0.__ <br /> everetl <br /> e � <br /> �;r:,:�:.� <br /> City of Everott ���J � <br /> Sewer Application and Permit � � �" � 3 <br /> NO. 24389 DATE �� O f(R� <br /> Service Address��(Q_��—+� Utility Account No. <br /> Billing Address�Q'�P�! - permit Fee �� � <br /> City, State, Zip �✓_ �l��yL.�7�� Connection Chargels►___ <br /> _ � <br /> Owner (Mortgagc )�.U/,� �O�/�' R Total Fee_ �-C.J � <br /> BillingName ��_��{�i,�/e <br /> .� <br /> Connection By kIV�V- _ ,.'" <br /> Address _ Signed ! <br /> ^ � � � � — customor <br /> Phane---�� y - <br /> y <br /> OESCRIPTION: Sewer District <br /> Lot 7�(] Biock�� <br /> p��t ,I/yy�Ni�,��_ Monthly Sewer Service <br /> -7�t�- , <br /> Unplatted Description Monthly Sewer Constr. <br /> Tyne Permit: — — Trunk_ I <br /> — �/� W �.Dw�1/ <br /> Lateral <br /> Romarks: I <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> — Approved By I <br /> Ciry Enpinen � <br /> iss„�a BY L Gal�r���v <br /> Inspection By� ^ �„! <br /> Date Inspected Z�Z <br /> SEE SKETCH ATTACHED N�• Z4389 <br /> INSPECTION <br /> � — <br />