Laserfiche WebLink
t�. a'7 <br />everett <br />e <br />City of Everett <br />' u r_�. � ;:>/1 t . F. r� !'V � i i?�LOG , �J� :. �/9�2n <br />Sewer Applicati�n and Permit <br />,��'` <br />No. 23196�v� � DATE � <br />% <br />Service Address_ <br />Billing Address_ <br />City, State, Zip_ <br />Owner (Mortgagor) <br />Billing Name % <br />Connection By_ <br />DCSCRIPTION: <br />Lot _ <br />Plat <br />Unplatted Descri <br />� Type Permit: <br />Biock— % <br />CHART NO.�' a�" a' 4—� <br />Utility Account No. <br />Permit Fee <br />� Connection Charge�s) <br />Total Fee <br />Signed <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />INSPECTION <br />Lateral <br />Abutting Lot Linc <br />N, S, E, W_ <br />Approved By <br />City Enpineer <br />Issued <br />Inspection <br />Datelnsoe <br />No. 23196 <br />