Laserfiche WebLink
e-^retl <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />rvo. 22467 DATE �/�/�� <br />Service Address �9� % �% � �' � ' — <br />BillingAddress �3D� ��� ��' <br />City, 5tate, Zip ��� 'C 9��3,� <br />/ �fyt aN `�lf�i� •-' <br />Owner (Mortgzgor)�� <br />Billing Name�,! �""�� <br />Connection By ��� <br />Phone �7C�— //S 7 <br />CHART N0. Y�3--��' Y <br />� ' -' <br />�_� <br />c:.., <br />c:, <br />p.; <br />< >_; <br />!� j <br />Utility Account No. �_ <br />Permit Fee �� — <br />�r^� <br />Connection Chargels) — <br />P� <br />Tctal Fee �� <br />!" / ' J � <br />Signed=� /^ — <br />ustort�[r <br />r— <br />DESCRIPTION: Sewer District 3� �L <br />Lot � ��o�k�--�— Monthly Sewer Service <br />Plat � �' �l'r <br />Unplatted Descriptio Monthly Sewer Constr. <br />SEE SKETCH ATl'ACHED <br />� <br />a-9� <br />Abutting Lot �)'� d <br />N, S, E(W' � ft. <br />✓/ <br />Approved B�� <br />G�y En9ineer <br />Issued By � _�'� <br />Inspectian By <br />Date Inspected <br />NO. <br />UTILITY BILLING <br />22467 <br />