Laserfiche WebLink
----. : ..__. _--- ., . __ _.__ _.- - <br /> CH RT N0. X ,�-s�2l�- y - <br /> everetl �� � ;�� '� _ � ��� <br /> � ' w�� Q/�YI> P �� <br /> � <br /> City of Everett ��_��� � � <br /> �Sewer Appiiccation cr�d Permit <br /> N0. 23OTZ DATF - <br /> Seroice Address_ _ ` Utility Account Nn. ' <br /> Billing Address Permit Fee_ <br /> City, State, Zip Connection Charge�s) — <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By _ ___ <br /> Address Signed <br /> Cialomer <br /> Phone I <br /> DESCRIPTION: Sewer District___ <br /> Lot � _ Block Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type P.:rr �c <br /> —� Lateral <br /> Remarks: <br /> Abut[ing Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engineer � <br /> Issued By <br /> �. , — ✓�/ <br /> Inspection �yV <br /> Date I nspected � - �� � / � — <br /> SEE SKETCH ATTACHED NO. Z3O7Z <br /> INSPFCTION <br />