Laserfiche WebLink
eW <br />City of Everett <br />Sewer Application and Permit <br />NO. 23572 DATE -1Lri1 17 1qq--moo <br />Service Address_ 171 <br />_� <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor),_ __ <br />Billing Name_ r;.,. -r - <br />Connection By <br />--:4fir- off- );ue�et: t <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Description_ <br />Type Permit: <br />Remarks: <br />-rr <br />SEE SKETCH ATTACHED <br />CHART NO. �, - (7 ci , <br />Utility Account No. <br />Permit Fee Q <br />Connection Chargelsr icm, <br />Total Fee uj ,. . <br />Signed Dnn Millr+r <br />c :w cr <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved Bye„oh w rr <br />C. y Engineer <br />Issued Bv_ <br />Inspection By <br />Date Inspected <br />No. 23572 <br />ft. <br />INSPECTION <br />