Laserfiche WebLink
evereH <br />e <br />City of Everett <br />CHART NO. 'F/z -Za -Y <br />1� <br />Sewer Application and Permit <br />No. 22946 <br />Service Address --,— <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />Address <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descriptit <br />Type Permit: <br />Remarks: <br />po^ <br />DATE L <br />Utility Account No. <br />i <br />Permit Fee__ <br />Connection Charge( <br />—_ Total Fee_ <br />Block <br />SEE SKETCH ATTACHED <br />Signed_ <br />Customer <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk _ <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />Gty Engmeer <br />Issued <br />"ez <br />Inspection ByC—.z <br />Date Inspected <br />No. 22946 <br />