Laserfiche WebLink
everett - � <br />� a <br />City of Everett � <br />Engineering & Community Services <br />Sewer Application and Permit ' <br />���-- <br />NO. •'- b'� _� DATE �___ -- '�—_/� <br />Service Address %`�� / �� i � ,-��— � <br />Bill�ng Atldress <br />City, S[ate, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By —� -.- <br />Address � <br />Phone <br />DESCRIPTION: <br />Lot�_ glock�_ <br />Plat <br />Unplatted Descriotion <br />Type Permit� • <br />I CHART N0.1L "-��'77_ S <br />�o S ?"'G�d.� ,. <br />/Z _' S � 7 $'' <br />�� � <br />Utility Account No <br />Permit Fee <br />Connrction Charge( <br />Total Fee <br />__r <br />Signed�_ __. _, <br />Cusiomer _ <br />�i � <br />Sewer District <br />Monthly Sewer Service <br />hlonthly Sewer ConsV. <br />Trunk <br />Lateral <br />� SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W. <br />4PProveii By <br />Ciiy Engineer . <br />ssued Bv - <br />upection By �L77't �% <br />atelnspected � - -/ - % � <br />N0. , <br />, , <br />-, _ . _. _�•���� <br />�� �'�.5�.'�.,:._MJet� <br />