Laserfiche WebLink
everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 23406 <br />DATE � ✓ .3 <br />CHART NO.i � ��� ��`� � �=� <br />Pasr�v <br />Service Address 'L� �% ��/Gi��++� //�� Utility Account No. <br />e-� <br />BillingAddress w��- PermitFee ��' <br />City, State, Zip �n�.f��W.Y� d'v�� �� Connection Charge(s) <br />Owner (Mortgagorl���r- � <br />Billing Name_,��.�v+�L <br />�i�ik�Bv�?.�.�iQr.aJ �� p,.--. _ �_, <br />Address � � <br />y v <br />Phone��� <br />DESCRIPTION: <br />i <br />Lot y lock �S� <br />Plat ,� .B-+. .� �.,�,L� � / — � <br />Unplatted Description <br />Total <br />� <br />� <br />Signed <br />cu:tomcr <br />SEESKETCH ATTACHED <br />INSPf:Ci ION <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />`f�I7,8� <br />Approved By �1��`" , �.n���"t- <br />Ciry Enginecr <br />Issued By � L��LG' r�'�/ <br />Inspection By— <br />Date I <br />rvo. 23406 <br />