Laserfiche WebLink
; <br />evereit , <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. �;' �i �� I DATE .—��/% i'e� <br />CHART NO��=�Z�.7s <br />%�a ,S T � U <br />v' - �9 - =' �' <br />Service Address_- ' � �� � •� ✓ � -�! �i,.. .� i Utility Account No. <br />Billing Address '� c� -� .!! ��� :.J 7 Permit Fee � U f <br />City, Stare, Zip_r ,�. :7 ";�.� - %a � D� Connection Charge(s) <br />' !;� <br />Owner (Mortgagor) �� - � � Total Fee J � <br />Dilling <br />Connection <br />�_� <br />� -_ , . . �__ <br />Phone � � _ �/i .:'-F <br />DESCRIPTION: <br />Lot �; • u . � D.lock `/� / <br />Plat - -� '/ , l.. <br />Unplatted Description <br />Signed � r' k: ' 1 -.� <br />Cusromcr <br />. . � <br />�.,. _ <br />�i '��:i� 1 . r' ar'_..' <br />7; .r ' 4' :tre ^.� � <br />Sewer District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_ . � <br />Gty Enginccr / <br />r� <br />Issued B <br />� �. <br />Inspection By "' - �=� -=�-�t--' _____ <br />)ate Inspected_ � /� S �% � <br />N0. <br />�'' <br />. n . ��-.._ .� y���i:. �.. .. . .J�. <br />��s <br />