Laserfiche WebLink
^� , <br />E�e���n <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Applicatir�n and PE�r�mit <br />NO. DATE <br />Service Address <br />Billing Address <br />CitY, State, Zip . � � ! � �r. l:. <br />Owner (Mortgagor) <br />Billing Name <br />Connection Bv <br />Address_�"'� '- • ' <br />Phone ` <br />DESCRIPTION: <br />Lot Block <br />Plat , <br />Unplatted Description <br />Type PermiL• ;'��( j.li %/�.r �� ��. r_ <br />Remarks: <br />SEE SKETCH ATTACHED <br />L ,(:' <br />iCHART N0. � � °'_� <br />' — _ , <br />,= <br />;� , , . <br />� i <br />I� <br />Utility Account No. <br />Permit Fee `�" : (l ` � <br />i;,. i . <br />Connection Charge(s) <br />�I,� ' � <br />Tottil Fr,e � . <br />Signed.� ,,. ..`_../;r � � � � �- <br />� �Customcr - - <br />i <br />. <br />Sewer District ' �����JT��j�� <br />Monthly Sewer Service �i L ��U <br />_ Monthly Sewer Constr. <br />— Trun!< -�! <br />Lateral <br />Abutting Lot Line <br />— N, S, E, W. — <br />..��:�ii�i;�.r;' i''. <br />� ,. — —__C t� E.�,uim.,: <br />� �SSLii!(j [3l'—_ ... <br />�I� , m .. ,.,i � <br />Oate Inspected_ %� <br />Nu <br />r---:-- ---�- -- � <br />� <br />