Laserfiche WebLink
i everett /, <br />I <br />� <br />p <br />City of Everett <br />p <br />Sewer �4��,►���$ior� ,and Permit <br />"o. 23pt35 <br />� Service qddress <br />IBilling qddress <br />I <br />i� �tY. State, Zip <br />I�wner (Mortgago�� <br />� Billing Name <br />Connection By <br />I Address_ ;' <br />—�_ , <br />DATE , . <br />Phone <br />DESCRIPTIpN: <br />Lot <br />Pla t B lock: ��_- <br />� Unplatted Description <br />—�---- <br />� TYPe Permit: �� <br />� <br />���ART N0. '- <br />7- i� <br />1���� (�` -j <br />�'/ �� <br />t =/8.��, <br />��/.� <br />� <br />Utility qccount No. <br />Permit Fee _ <br />Connection Charge(s)_ <br />Total Fee_ _z <br />—� Signed � - <br />, <br />�%,�: � <br />___— Cusmmer � <br />�c� �KETCH ATTqCHED <br />Sewer District <br />Monthly Sewer S <br />Monthly Sei,ver Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />fJ, S, E, N/ <br />pproved By-- � <br />CitY cngineer - <br />�ued gy <br />�ection B � i', <br />y-- `�_.: <br />'Inspected _ -- <br />� /� <br />rvo. 2�(��5 <br />