Laserfiche WebLink
CHART NO. �- �R -Z�I-c— <br /> everett <br /> � % , <br /> �� '' ) `-�_V�.— `� 1i��7_ ?�J� <br /> City of C-verett <br /> /' <br /> Sewer Application and Permit %��-�' <br /> . NO. Z4OHZ DATE ��� � S�/� _ <br /> Service Address�,�b �� � Utility Account No. <br /> Billing Address Permit Fee__ ,6� <br /> City, State, Zip Connection Charge�s) � <br /> � � - ) /� <br /> Owner (Mortgagor� � Total Fee_ �� . <br /> 8illing Name <br /> ��� � �/ ��['s��� , <br /> Connection By�G�—vr,��� <br /> ; <br /> Address - Signed �"- <br /> � � � Customer <br /> Phone <br /> 33 - o �/�— ' <br /> DESCRIPTION: Sewer District <br /> Lot `-��� 81ock . 0 ' <br /> %j� Monthiy Sewer Service <br /> Piat ,,aE�f�� <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: <br /> Trunk <br /> Lateral <br /> Remarks: <br /> ! Abutting Lot Line <br /> �--� N, S, E, W ft. <br />� � <br /> /J � � <br /> Approved By �,f%� � l � <br /> City Engmcer i <br /> Issued By -�"""' I <br /> I <br /> I <br /> . �� <br /> Inspection By <br /> Datelnspected �� � v <br /> SEE SKETCH ATTACHED NO. Z4ORZ <br /> INSPECTION <br />