Laserfiche WebLink
- , <br /> CHART NO. <br /> everett � „ <br /> � - ���- � ; <br /> � <br /> City of Everett _r <br /> k� <br /> Sewer Application and Permit <br /> NO. 2�T�1 DATE f/f/!0 <br /> Service Address �l�l tia� itr��t Utility Account No. <br /> BillingAddress 1�10 ll�t1 PermitFee 2•y� <br /> i�ll�h�. Ma. f�001 <br /> City,State, Zip Connection Charge(s) <br /> retA Dre�. Co��t. taa. =.SO <br /> • Owne► (Mortgagor) Total Fee <br /> � ��� <br /> Billing Name <br /> ' s... _ <br /> �' Co�nection By . <br /> �1 :? � <br /> Address Signed :` ,-7,�. '' <br /> y �?.r..�.�Q, <br /> Customer <br /> . . �S1��a1� <br /> �10IIQ <br /> DESCR;P 11QN: Sewer District <br /> Lot � ° Blxk �s� Monthly Sewer Service <br /> Plat M�tt Lu� Ce.s l�t <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ���t! <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, yy ft. <br /> ; �vvE� �Rt � H. Narz�• <br /> Approved By — <br /> CitY Enyineer <br /> s. loaa <br /> Issucd By <br /> ' Inspection By `�`-�I \, <br /> Date Inspected <br /> SEE SKETCH ATTACHED N�• Z3T41 <br /> � <br /> INSPECTION <br />