Laserfiche WebLink
evere t <br />City of Everett <br />Sewer .'application and Permit <br />No. 22891 <br />Service Address <br />Billing Address <br />City, State, Zip__ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Arfdress <br />DESCRIPTION: <br />Lot _ <br />Plat <br />Unplatted Descr <br />� Type Permit <br />DATE <br />Block__ <br />SEE SKETCH ATTACHED <br />CHART NO.T� — DO 2 <br />7"o s7'50 <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 />Lateral_ <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer <br />Issued <br />Inspection By� <br />Date Inspected c�-5 20 -/ q <br />NO. 22891 <br />INSPECTION <br />