Laserfiche WebLink
CHART N0. S�S-Z5'S <br /> everett ti. ��S �E� <br /> � � ` C.-s�0 � <br /> City of Everttt /�� <br /> L/ <br /> Sewer Application and Permit <br />' No. 23515 <br /> DATE ��a�80 <br /> 1202 dolbY Utility Account No. <br /> Service Address �a <br /> Permit Fee <br /> Billing Address <br /> Connection Chargels) <br /> City, State, Zip n�e <br /> Total Fee <br /> pwner (Mortgagor) <br /> Billing Name <br /> CitT oi Everett <br /> Connection By m» Hillar <br /> Signed <br /> Address c��z�om�� <br /> Phone -- <br /> Sewer District — <br /> DESCRIPTION: <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: Lateral <br /> Remarks: r�F3� Abutting Lot Line <br /> N, S, E, W ft. <br /> - ��� g, Wnrsen <br /> {�ppfOVBd BY— Ciiy Engineer <br /> �" q, fi. Bond <br /> j � ,�� . /-' '�-, . . , -/ Issued 8Y <br /> � ' r /.1� � � . h! _ <br /> i f r r ,-' ''� <br /> / . <br /> Inspection By <br /> " /� �//��- � �''_.FI' <br /> �� <br /> Date Inspected <br /> SEE SKETCH .4TTACHED N�� 23515 <br /> IN:�i'FC i ION <br />