Laserfiche WebLink
everen <br />e <br />City of Everett <br />Sewer App�ication and Permit <br />No. 23551 pATE _ harch 2�. 1480 <br />svu sourh ]ea r.�u►w <br />Service Address <br />Billing Address <br />City, State, 2ip <br />Owner (Mortgagor) <br />Billing Name, <br />Connection By_ �� o! �rer�tt <br />DESCRIPTION: <br />Lot Block <br />Plat <br />Unplatted Description <br />Tvoe Permit: � �^l'��� <br />�_ � <br />CHART NO. -� -� � � - � <br />��-r� ti-�-ea <br />� <br />Utility Account No. <br />Permit Fee ^^^� <br />Connection Charge(s) <br />Total Fee �M <br />Doa Nill�s <br />Signed <br />CuSiomer <br />Sewer District <br />Monthly Sewer Service <br />Montlily Sewer (:onstr. <br />Trunk <br />Lateral_ <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Abutting Loi Line <br />N, 5, E, W <br />H. Narr�n <br />Approved By <br />� Ciry Engineer <br />E. Bond <br />Issued BY . <br />i / <br />Inspection By �� (�/J�� � a``� <br />Date I nspected -� � � 7 � �� <br />N�. 23551 <br />t. <br />