Laserfiche WebLink
everett <br />City of Everett <br />Engineering & Community Services <br />Sewer Applicatian and Permit <br />CHART NQ_ F- ' �� " , <br />„ . ���,_, . �- <br />NO. ' 7 ' .'�' �;_`.� � DATE ��', <br />�f�`����-' ��?� ��, <br />Service Add�ess %� " ;' � <br />Utility Accounc No. � ` ^' ' ' <br />Billing Address ' -% : <br />� <br />`t ��" `' Permit Fee ' <br />City, State, Zip ` - � � . ;: ,. �,, ... <br />"f �' '� Connection Charge(s) "� <br />Owner (Mortgayor) -_t . <br />� Total Fee - <br />Billing Name__ ' <br />Connection <br />Phone <br />DESCFIIPTION: <br />Lot.__� g�ock <br />Plat ' <br />Unplatted Descriotion <br />Type Permit: <br />� � �f <br />Signed .�. 1/ . G?1`l�pir-an _ <br />Custamer <br />SEE SKETCH ATTF,CHED <br />� , i.-; z� �.-�r�n�,..t i.. . <br />l <br />Sewer District_ __ <br />Monthly Sewer Service <br />Montf�ly Sewer Constr. <br />Trunk_ _ <br />Lateral <br />Abutting Lot Line <br />fJ, S, E, W_ <br />4pproved Qy <br />Cily Engince� <br />ssued <br />� <br />,' � �� ' <br />ispection By _�,�,��� <br />--� <br />ate Ins�,acted� —,�,n — �Li <br />N0. <br />� �i.� �4 _ ,: y a t*�. . ... <br />. _. .__._ ...- �.~'_ _�'_.� <br />