Laserfiche WebLink
eE <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />N0. 3 DATE <br />;i <br />Service Address 5 % - ' <br />Billing Address ��� � f�� �` ''''1 4 <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection <br />Phone S 3 % _ <br />DESCRIPTION <br />Lot Block <br />Plat <br />Unplatted Description <br />SEE SKETCH ATTACHED <br />Utility Account No. <br />v� <br />Permit Fee—'3 0 <br />Connection Charge(s)— <br />'.Total Fee U <br />I <br />Signed — <br />CusComer <br />Sewer District <br />Monthly Sewer Service L�-_.u-.� <br />INSPECTION <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued By '--f . - <br />Inspection By X P l <br />Date Inspected/Z Y <br />No. 22043 <br />