Laserfiche WebLink
everett <br />� <br />City of Everett <br />Sewer Application and Permit <br />No. 24111 <br />�, ; <br />DATE � ���� <br />Service Address 2O �" �/� � � °t`�.EL ��' <br />i <br />Billing Address �� <br />City, State, Zip ���"/�-t�ly ��-'�-� <br />� <br />Owner (Mortgagor) �' ��-r+�i' � %�Y'�-�'�r <br />Billing Name %�='-•��'z-� <br />Connection By_`1L�1_'Y� � -tv�'� /JP �U'� �` <br />Address � / ���% �.�i� L, �� <br />- �> � iG �� <br />Phone � 5� <br />DESCRIPTION: <br />Lot � ` Block ` ��� <br />Plat..>,��-rk'�-•'%L� �i�'�G( . <br />Unplatted Description <br />Type Permit: <br />CHART N0. � -3 �'- �� `l `e1 <br />Utility Account No. <br />Permit <br />� c-�� <br />� C' __ <br />Connection Charge(s) <br />� e'`�' <br />Total Fee '�' <br />Signed <br />C :omer <br />SEESKETCH ATTACHED <br />Sewer <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />� � <br />Approved By "�' •�,'-�L'�t <br />—T GI Engincer <br />i � /�� <br />Issued By � ' �_ ' � — <br />Inspection <br />Date I <br />N�� 24111 <br />� INSPEC710N i <br />�_�_ — <br />_ <br />� <br />