Laserfiche WebLink
�j <br /> ti�L S� � -� S CHART NO.�z �- �/ <br /> everett <br /> � �6�'� 14.0 <br /> 6— w0"7 � <br /> City of Everett � <br /> Sewer Application and Permit <br /> N0. Z3O7H DATE .;;' : � - � - <br /> , <br /> Service Address � f � � � � Utility Account No. <br /> Billing Address % f' '' Permit Fee � <br /> City, State, Zip % / Connection Charge�s) ;L.�� ` <br /> Owner (Mortgagor) � � l Total Fee � <br /> Billing Name - <br /> Connection By - <br /> Address Signed <br /> Customer <br /> Phone � /�' ; . <br /> DESCRIPTION: :! Sewer District = ! � <br /> � Lot Block <br /> F`lat Monthly Sewer Service ' � i <br /> Unplatted Description Monthly Sewer Constr. ; <br /> -- Trunk � <br /> Type Permit: _ — � <br /> Lateral / �' � <br /> i <br /> Remarks: � <br /> Abutting Lot Line i � <br /> N, S, E, W fL <br /> i <br /> i <br /> � <br /> Approved By I �' <br /> Ciry Engineer <br /> „i Issued By __ � <br /> / I <br /> Inspectian By� '�-�'^ <br /> _, Date Inspected � 2 ��� <br /> SEE SKETCH ATTACHED NO. 23O�S i <br /> INSPLCTION I <br />