Laserfiche WebLink
� l�J <br />�, City of Everett <br />Sewer Applicatien and Permit <br />No. 22971 <br />DATE � •l - 7 � <br />Service Address � � �° � �� � � ' <br />/ � � <br />Billing Address_'> � ! � � —' <br />/ , /, / <br />City, Stato, �;F— ` <br />, /. . <br />Owner IMortg3gor) '._'�-==— <br />.Utility Account No. � �� �� — <br />�.' <br />Permit Fee � �� <br />� / <br />Connection Charyels) �� ° <br />", r� _i-- <br />Total Fee_�— <br />Billini� Name — ' <br />� � <br />Connection By � — . ; � � �` � � �_ ' [� ���_ <br />.�i <br />Signed Cus�ortwrt <br />Address <br />Phone_ _ - � — -/i ' - '� _ � � <br />Sewer District /_ , <br />DESCFIP�ION: � <br />Lot _ y--- BI � Month!y Sewer Service. � <br />Plut — /' - i' " � _' --� <br />Monthiy Sewer Constr. <br />Unplr,;ted �es: ription � : , .� <br />Trunk__ !`'�' �� <br />type Permit: , � ._. <br />Reriarks: <br />._ ��.1.•••- �noasa <br />/ <br />SEE SKE7CH ATTACHED <br />INSPECTION <br />Lateral <br />Atutting Lot Line <br />N, S, E, W <br />Approved i3�� ��—�-`_=�==��-- <br />c��v eo����.�K <br />Issued By '�_-'-----='---•---�—_" <br />Inspection By. -- <br />Date I nspected_—._--- -------" <br />No. �2971 <br />