Laserfiche WebLink
evereft CHART N0. < <' Z %- �_ <br /> � �� �� <br /> ,z,�o <br /> City of Everett n� <br /> y� <br /> Se�sver Application and P�rmit <br /> N0. 13�36 DATE , I i �_ <br /> � i <br /> Service Address Utility Account No. <br /> Billing Address Permit Fee <br /> City, State, Zip � Connection Charge�s) <br /> Owner (Mortgagor) ' • Total Fee <br /> Billing Name _-�. � <br /> Connection By <br /> Address / �r 'i Signed <br /> Customcr — i <br /> Phone_ ' _ f 't I <br /> DESCRIPTION: Sewer District <br /> Lot Block <br /> Plat — Monthly Sewer Service _ <br /> Unplatted De,cription Monthly Sewer Constr. <br /> Type Permit: , Trunk __ <br /> Lateral <br /> liemarks: <br /> Abutting Lot Line � <br /> N, S, E, W ft. <br /> ( <br /> Apprrved By <br /> — Ciry Engineet <br /> Issued By <br /> Mspection By�F1�/ ' <br /> Date Inspected �— z — �� <br /> SEE SKETCH ATTACHED No. 23436 <br /> INSPECTION <br />