Laserfiche WebLink
CHART NO. -f 9 <br /> erveren <br /> City of Evviett ' <br /> jj <br /> Sewer Application and Permit <br /> No. 23191 DATE <br /> Service Address _____ Utility Account No. <br /> Billing Address ___- Permit Fee <br /> City, State, Zip-- _ _ Connection Charge(sl_ ~J <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Customer <br /> Phone--- <br /> DESCRIPTION: <br /> hone DESCRIPTION: Sewer District % <br /> Lot Block--_ --_ <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description_ _ Monthly Sewer Constr. <br /> — Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> 01Y Eugmeer <br /> Issued By <br /> — — Inspection By 'GCk eU a..L <br /> Date Inspected 6 . 2- 7 - <br /> SEE SKETCH ATTACHED No. 23191 <br /> INSPECTION <br />