Laserfiche WebLink
, everetl <br />e ��� <br />City of Evereri <br />S�wer Application and Permit <br />No. 23194 <br />DATE � .���% <br />CHART N0. G %�Z� -S <br />�-��%�= n <br />�'-,z-� � <br />Q�3 <br />Service Address ,� • i - �! Utility Account No. <br />Billing Address -- Permit Fee <br />City, State, Zip �" �: Connection Charge�s) <br />Owner (Mortgagor) Total Fee <br />Billing Name - �' / � _ - <br />Connection B <br />Address S <br />Phone- _ / <br />DESCRIPTION: <br />Lot � <br />Plat <br />Unplatted Descri <br />�" <br />Type Permit: - <br />SEESKETCH ATTACHED <br />IP�SFECTION <br />Sewer District <br />Monthly Sewer Service ' <br />Monthly Sewer ConsV. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />i <br />Approved By <br />City Enginccr <br />I ssued <br />Inspection By <br />��� �,� _ <br />� <br />Date I nspected 7� G' / <br />No. 23194 <br />/ <br />