Laserfiche WebLink
everett <br />e <br />f:ity �f F.vernr, <br />Sewer Application and Permit <br />No. 23495 <br />_��.,� <br />DATE <br />Service Address �� �ydland 11�� <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Co�nection By �h' o! Er�r�tt <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descr <br />Block <br />Type Permit: r�pair <br />CHART N0. �t Z6 �Z �S <br />Utility Account No._ <br />Permit Fee °�� <br />Connection Charge�s►. <br />Total Fee IIOA° <br />Signed �il srowtd <br />Customcr <br />SEE SKETCH ATTACHED <br />��i„nf_�_ i i�.. <br />Sewer District <br />Monthly Sewer Service <br />A1onthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />3t. harzun <br />Approved B�•_ <br />Ciry Engine� <br />E. Bond <br />issued <br />, � �lJyh) <br />InspectionBy %��� ✓s-.��'�� <br />�atelnspected � � / �1 �� <br />No. 23495 <br />