Laserfiche WebLink
ev,Mretl <br />� , . <br />City of Everett <br />� <br />�l1oc q <br />Sewer Application and Permit <br />CHART N0. X "S -7 �f'S <br />� % <br />' / <br />�ST'�� <br />//� i�,�T <br />Il <br />N0. Z.�ZHE DATE �' -' �" / I <br />�� �i <br />Service Address�,�!�� % � � Utility Account No. f%� /%� <br />0 <br />Billing Address�� .3010� Permit Fee_ �� � <br />City, State, Zi� �!� d.�i Connection Charge(s) � 3�� <br />Owner (Mortgagor��q�,� - Qcz��Total Fee �Q O'` <br />BillingName_ / :i � <br />Connection By �ti,,.,i2_._ <br />Phone 3,5��' � //3� <br />DESCRIPTION: <br />Lot Block '' <br />Plat���ag { <br />Unplatted Description <br />Signed . <br />Cusromer <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District�q�r�� <br />� <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk �Q� y� <br />Lateral ��%Q� /!^ <br />Abutting Lot ne <br />N, S� W �� oL ft. <br />Approved By " _ <br />City EnBineer <br />Issued <br />Inspection By w '^_ <br />�ate l nspected_ / — � ` ! 7 <br />No. 2szss <br />