Laserfiche WebLink
,� CHP RT N0. L� ��O "Z�` y <br /> Qvrretl � (, � ��_ � �� : � <br /> e , <br />� City of Everett � w� <br /> _/� <br /> Sewer A�plication and Permit " /r,,, <br /> NO. Z3O�H DATE ! �f i / _ — <br /> ; <br /> Service Address � � ' �� t=� Utility Account No. ' <br /> Billing Address ` % '� �-- ����� �' 'E"' ' Permit Fee � <br /> City, State, Zip ' ' ' ` '� '� � � " � ��� r Connection Charge�s) <br /> Owner (Mortgagor) ;' ' ("� �.�-.- � �_' Total Fee _-- - <br /> Billing Name ' ! �-'�`�%• � `` <br /> Connection By ' t' "'-'(-'""' <br /> � <br /> Address ' � "`'! �" �� �� ` ' ' � Signed <br /> Customcr <br /> Phone ' � ` � � f <br /> DESCRIPTION: Sewer District ' � — <br /> Lot Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description � ` ' ' ` I� " Monthly Sewer Constr. <br /> �� - --!— <br /> i , i ' .��.i 1� "'. (:- ' �! '� ' <br /> Trunk <br /> Type Permit: �" ; r � � : <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N� S� E� W--- —it. <br /> LO p 2 / � ; ' , <br /> Approved By ' f%' ` <br /> City EnBineer <br /> ISSUC(� By ---- <br /> '_7 ' , � <br /> Inspection By � ��''' <br /> Date Inspected � � � / � <br /> SEE SKETCH ATTACHED No. 2309� <br /> INSPFCTI01�'. <br />