Laserfiche WebLink
4 <br />City of Everett <br />Sewer Application and Permit <br />No. 23115 DATE <br />CHART NO. 13 <br />Service Address <br />_. Utility Account No._ <br />Billing Address----______ <br />Permit Fee <br />City, State, Zip_._____ <br />Connection Charge(s) <br />Owner (Mortgagor) <br />Total Fee ; <br />Billing Name <br />Connection By <br />Address Signed l <br />Customer i <br />Phone <br />DESCRIPTION: <br />Lot <br />Plat <br />Unplatted Descrip <br />Type Permit: <br />i <br />Remarks: <br />i� %a 'z> <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Cons;r. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />City Engineer <br />Issued By - <br />Inspection By &1WIV,u6/2 <br />)ate Inspected S - Z Z — `l 5W <br />No. 23115 <br />