Laserfiche WebLink
eD <br />City of Everett <br />CHART <br />Engineering & Community Services <br />Sewer Application and Permit <br />No. 226,12 <br />Service Address <br />Billing Address — <br />City, State, Zip -- <br />Owner (Mort(lagor) <br />Billing Name. <br />YA y f <br />Connection By_1.� �' r <br />Address_ <br />Phone <br />DATE <br />-t-- Utility Account No. <br />Permit <br />Connection Charge( <br />Total Fee -' - <br />Signed '' ✓%�= �� <br />Cwtomer <br />Sewer District <br />DESCRIPTION: <br />Lot Block— Monthly Sewer Service <br />Plat <br />UMonthly Sewer Constr. <br />nplatted Description <br />Type Permit: <br />Remarks: `= <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By �<- <br />City Enpmax ✓ <br />Issued By <br />Inspection Bye/'�� <br />Date I nspect ed �U ' 12 _71 <br />o - -- <br />SEE SKETCH ATTOCHED <br />IfdtiPECTIG11, <br />