Laserfiche WebLink
r <br /> � , <br /> CHART NO. � <br /> everett <br /> e <br /> City of Everett <br /> Sewer Application and Permit <br /> N0. 24394 DATE ���R� � ��o_ '� _�� ;:�� —_/'�_(�'_� <br /> Service Address.��-'�0 � Utility Account No. <br /> �r <br /> Billing Address Permit Fee_��D <br /> City,State, Zip,�T O _ Connection Charge�s) <br /> s� <br /> Owner (Mortgagor►. _ Total Fee �� <br /> Bil�ing Name _ <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone -3-r�— /-�7� <br /> DESCRIPTION: Sewer District <br /> Lot�� Block <br /> Plat����'j"�.'a �.= Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> • -- Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> _ � <br /> Approved By9�..,-�• �'If • ��� <br /> citv npine <br /> Issued By �___C/j� <br /> Inspection By �5 , <br /> Datelnspected �Z <br /> SEE SKETCH ATTACHED N0. Z4394 <br /> i <br /> INSPECTION I J <br /> i_ <br />