Laserfiche WebLink
1 <br /> i �� <br /> , City of Everett <br /> Sewer Application and Permit <br /> NO. GG81,�, DATE /�/�%�/ <br /> Service Address ;' f �/t� . % � f Utility Account No. I <br /> .;:� <br /> Billing Address _ —�� - '��/ ' • /'� Permit Fee r-� ��f <br /> �- .� . � I <br /> City, State, Zip - - � ��>�- . /�" • r: l Connection Charge(s) <br /> Owner (Mortgagor) �- ' % - � � Total Fee � �__ j <br /> Billing Name � � I <br /> , <br /> Connection By % •,� - •� ( I <br /> Address '� ���•� , ' / `// - ^ �/�/ Signed �� � /+�G���� I <br /> cusromer <br /> Phone —" i: C. _:d p <br /> DESCRIPTION: Sewer District <br /> Lot ��' ' � � Block - 'i '•� <br /> Plat � / / ; .,,�. / Monthly Sewer Service <br /> � <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: / Trunk <br /> �.� �- / <br /> , ''✓ Lateral___ <br /> Remarks: <br /> Abutting Lot Line <br /> _ N, S, E, W ft <br /> ._ � . ' <br /> APProved By .. �/ . _ <br /> Clcr' �pimn <br /> ISSUed BY ' _" ` ,• <br /> Inspection By <br /> Date Inspected <br /> SEE SKETCH ATTACNED N0. 22ei1 <br /> INSPECTION <br /> i..._.._.7x..: ..y. _. .�,.. .�..__.�._..- -- - — -- - - �sm,v,,, - <br /> '�•"Q^�•� 26002G <br /> `4r. <br />