Laserfiche WebLink
everett <br />e <br />City of Everett <br />Sewer Ap�lication and Permit <br />No. 25024 <br />DATE �r�� / �-f <br />Service Address-��l2=�_�� <br />Billing Address s - — <br />City, State, Zip <br />L <br />Owner�Mortgagor) �i�n�-+-r � Y�-'��� <br />Biiling Name <br />Connection <br />Phone �t� 3l � 37 � — <br />DESCRIPTION: <br />Lot , 2 Block � <br />PiatL�� . <br />Unplatted Description _ <br />CHART N0.—. <br />Utility Account No. <br />o`„- <br />Permit <br />Connection Charge�s) <br />P�- <br />Total Fee �O � <br />Signed <br />Cusromer <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W. <br />Approved BY � �� � �F� <br />" ry Engineer <br />ISSUB(I By��� <br />Inspection By <br />� � <br />Date Inspected z-��7 8�7 <br />rvo. 25024 <br />� <br />� <br />f. <br />r: <br />ri � <br />ti �. <br />H � <br />U1 ' <br />or <br />�� <br />� <br />�' <br />i <br />ro� <br />�' <br />�a <br />J . <br />O, <br />� <br />� <br />�: <br />z <br />