Laserfiche WebLink
�°'�� —_`7 ^�:�. II CHART N0./i—?f. �l �— � <br /> I ever.tt / � I <br /> ' � � �-�s' �� � <br /> � , <br /> City of Everett ��- �� I <br /> Sewer Applicatiun and Permit I <br /> � <br /> NO. ZG841 DATE � �' . � �I <br /> � � yy ��- .S� Utility Account No. � <br /> Service Address � � <br />� i <br /> Billing Address '� '� r'F��t � Permit Fee I <br /> r Connection Charge(s) � <br /> City, State, Zip <br /> I Total Fee ! � <br /> Owner (IV�ortgagor) i <br /> Billing Name — � <br /> i <br /> Connection By , <br /> r _ � ' <br /> �� Signed � � <br /> Addf855 Customer �I <br /> � <br /> Phone i <br /> DESCRIPTION: Sewer District <br /> I Lot� �O / Block � �' <br /> Monthly Sewer Service_ i, <br /> I Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> ni,�1 -H7L12(�r�-'R <br /> Remarks: i,b:rtting Lot Line <br /> IV, S, E, W ft. <br /> — ,approved By I <br /> i Ciry Engmeer <br /> I I <br /> �I Issued By �' <br /> i <br /> c <br /> . <br /> �il Inspection B <br /> � <br /> ' Date Inspected , <br /> i SEE SKETCH ATTACHED N� ZZ��� <br /> � <br /> i _ !�l.`-i �-; li(". <br />� <br /> I <br />