Laserfiche WebLink
everetl . . <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />r,o. �2�G9 DATE r � �'� <br />CHAHT NO.� � ��� l� <br />�.�r �� <br />Service Address �' �� �•' �f � Utility Account No. <br />Billing Address � ' � ` ' Permit Fee <br />City, State, Zip ' Connection Charge� <br />Owner (Mortgagor) Total Fee <br />Billing Name " <br />Connection <br />Add <br />DESCRIPTION: <br />Lot � <br />Piat <br />Unplatted Descr <br />Tvna Parmitt <br />Block <br />? j ��r; ; . ; �i. ; ;/ <br />Signed <br />----"'__.._ <br />Sewer District � <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />� <br />Trunk ' ' ' <br />' _'___' . / . <br />SEE SKETCH ATTACHED <br />,. .��� . �, i�, <br />� <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By • <br />Ciry Enginecr <br />Issued <br />� � ��� <br />Inspection By �R-� <br />Date Inspected g � 7 � �"� <br />N0. ` `, <br />� <br />� <br />I <br />