Laserfiche WebLink
nnni �vv.------ <br /> everetl <br /> � . <br /> City of Everott <br /> Engineering & Community Services <br /> Sewer Appiication and Permit <br /> n,o. 22591 DATE �' � •' _ <br /> Service Address ___'� • Utility Accourt No.__ <br /> �J�'', :i <br /> Billing Address � - � .� /<J � Permit Fee ��'� _ <br /> City, State, Zip�_�1___�• tr _ i � Connection Charge�sl <br /> : i <br /> pwner (Mor+gayor) '_„_ Tr�tal Fee_______'� <br /> Billing Name_ _ _ <br /> Connectioi. By _ �, , <br /> , <br /> Address_ — Signed ` ��%/'r % � , ,,�-- _ . .. .---- <br /> � Cusiomer , <br /> /� ' ;� . l� <br /> Phone---------------- <br /> DESCRIPTION: Sewer District_ _ i <br /> Lot----------- Btock <br /> Plat-- --_-- <br /> Monthly Sewer Service___ ____ ' <br /> Unplatted Dascription � . ,�, !� ______ Monthly Sewer Constr � <br /> / , �r' � !/ , i <br /> Type Permit: 5/ � " � � Trunk_ __ : <br /> — - � I <br /> Lateral ' <br /> Remarks � <br /> l�buttii�q Lot Lin�� � <br /> ------- .. S 1� 1'. �t. � <br /> _ <br /> � �lpprovi�d fiy - - - . - --- <br /> --� i:�cv 6���.i � � <br /> -- �--- ,I Uv <br /> —.— — — � <br /> _ i <br /> � Ir�.,per.liur I;y _ -- ' <br /> — --- -. _...--- . . _. . ._ .. ---�� -- - --i I <br /> JD,�te Inspected__._ _._ _ ---- -- -- i <br /> --- ------------ - <br /> o _ _--- <br /> n ,> rC . i <br /> SEE SK[TCH l�TTACHED NO. L � J J .L <br /> � <br /> �"SPCCTION � <br /> '. .'w: "yi�,.. �, .� .Esc�i� <br />