Laserfiche WebLink
everen <br />� <br />City of Everett <br />1�1 '" �`� <br />��a,D-7� <br />{rJAL 9-14-� 4 <br />i�/r�'/ � s <br />/� = � � <br />Sewer Application and Permit <br />No. 23251 DATE '' ,� <br />Service Address '� Utility Account <br />Billing Address � <br />City, State, Zi <br />CHART NO.J�' 3 �-- � p � <br />,� <br />Permit Fee _ • ' _� <br />Connection Chargels) �✓��" � �v �'� <br />Owner (Mortgagor) T,otal <br />Billing Name <br />Connection By � <br />Address <br />Phone ' <br />DESCRIPTION: <br />Lot %� Block � <br />� - '"' <br />/,, lj.. _� / <br />Si9ned � Customer <br />i <br />Sewer District � � 1�-�� �`' �� � <br />Monthly Sewer <br />Plat ` <br />Unplatted Description Monthly Sewer Constr. <br />Tvna Parmit <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Trunk ` <br />1'' � <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />I ssued <br />Inspection By � `��'`� � <br />Date Inspected � �� 7� <br />No. 23251 <br />