Laserfiche WebLink
everett <br />� <br />City ef EvereM <br />Sewer Ap��lication and Permit <br />No. 24331 <br />DATE _�i���� <br />Service Addiess <br />Billing Address�� . • <br />City, State, 2ip��,�t_���_ <br />Owner (Mortgagor�_* <br />Billing Name <br />Connection <br />Phone �5��,��P-- <br />DESCRI <br />Block <br />IType Permir. <br />i mlettla� <br />Remarks: <br />SEE SKETCH ATTACHED <br />UtilityAccountNo._�e�9 # <br />Permit Fee <br />Connection Charge(s1.���_ <br />Total Fee_ ..,, ,,,, <br />; <br />Signed <br />Customer <br />ir�s��Cc�tiord <br />Sewer Oistrict__n��_� � <br />Monthly Sewer Service ��8 _ <br />Monthly Sewer Constr. <br />Trunk_�_15 2TE1.6E� <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By—�� <br />Gily Enpinerr <br />Issued BY._�,��jq,yn <br />� <br />Inspection B���'..�� � - ��1%�� � � �__�_ <br />Date Inspected_ 4_ Z� f Z� <br />No. 24331 <br />� <br />� <br />