Laserfiche WebLink
evereri ��I � ; � � <br />' I <br />� <br />City of Everett <br />Sevver A�splication and Pe�rmifi <br />rvo. 23210 <br />Service Addres� <br />Billing Address <br />City, State, ZiF <br />Owner (Marty� <br />Billing Name_ <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot � <br />Plat <br />Unplatted Descrip[ion. <br />Tvoe Permit: <br />Block <br />CHART NO. �`IC' �' --�' � <br />_ ,, <br />����y <br />Utility Account No. <br />Permit Fee � <br />Connection Charge�s) � - ---. <br />Total Fee " ~ _ - - -- — <br />Signed � -- -- __ _ __ <br />Cuslomer <br />Sewer District_ � <br />Monthly Sewer Service _ _ <br />Monthly Sewer Constr. <br />Trw�k_ _ <br />Lateral _ <br />Al��it.i�ro� Ln; I_i� _. <br />_ . ... �: �.,';r <br />SEE SKETCI� ATTACHED <br />ilulnu�:��il I;�,' <br />Ciiy Li�.uii„�r <br />_tl. <br />Issued By � <br />-��,, ' �� <br />Inspection By � - <br />Uate Inspected � ` %O ' �7 _ - — _ <br />rvo. 23210 <br />