Laserfiche WebLink
evcrett <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Perrnit <br />NO. <br />� <br />Service Address <br />F3illing Address <br />City, State, Zip <br />Owner (Mort <br />Billing Name <br />Connection I <br />Address_ <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Ui�platted Descr <br />1" y <br />R�� <br />m <br />DATE — <br />,: <br />Block <br />ICHART NO.� � <br />� ) 1 <br />��— <br />,��'�S/ � <br />,� ,z z�, �� <br />��% <br />��� % <br />� . <br />� � G����� <br />�`�' lf G 2 81918 <br />�: <br />__ ._ <br />__.. .. .- <br />...,.. _ _. <br />Utility Acco�lTMo F EVERET <br />— F�fineerin; ':v <br />Permit Fee <br />Connection Charge(s) <br />Total Fee <br />i <br />Signed ' - <br />, c�:�om�� <br />� <br />Sewer Distnct <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED „I;`,` ,II` i <br />�� . _ <br />Lateral <br />abutting Lot Line <br />N, S, E, W <br />. <br />e <br />� <br />� <br />� � <br />4pproved BY �� E�9inecr � <br />I <br />f I <br />Issued By='—> ' <br />i <br />Inspection By � <br />iIf ::->. , r /� <br />Date Inspected �/� �� <br />� <br />NO. , . <br />