Laserfiche WebLink
��ve�ett <br />e <br />City of Everett <br />Engineering & Community Services <br />CHART N0. t„ �� �� -s <br />�s�� <br />� _?�Z-7� � <br />� <br />Sewer Application and Permit _ <br />N0. . , . �'� . DATE /r" � �Y <br />� _ <br />Service Address ��� �� � / /� - ' �+ � Utility Account No. ✓- � � - � 7= - 00 <br />BillingAddress "''���r �� �r� .�% . Permit Fee 3� �' <br />City, State, Zip- _�� � J_ ��_,�Connection Charge(s) ��-� O� <br />- � . 3 i <br />Owner (Mortgagor) '� ° �,. •=_,9'- Total Fee � __ <br />Billing Name <br />Connnction <br />Phone_ � � ' ' � �'�� _ <br />�r) /� � <br />L� � �'`" t� ` ' - _ <br />Signed�e . ri - _ <br />CmlMher <br />DESCRIPTION: SewerDistrict.�7� —�-�"-% � <br />Lot______.�, Block �v <br />Plat �-^ � ; �� -�-' Monthly Sewer Service � ' `� <br />Unplatted Description Monthly Sewer Con; tr. <br />SEESKETCH ATTACHED <br />� <br />Trunk � � • � � <br />Latera <br />o •� <br />� �) 'i <br />Abutting Lot Line <br />N, S, E, W it. <br />Approved By_ '� �✓ ' <br />Ci�Y Enpinenr <br />l. <br />Issued By ^ • —�` � r ' <br />Inspection n <br />Dnte Inspected <br />N0. , <br />