Laserfiche WebLink
4 <br />[e] <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. i l DATE — _ / <br />Service Address <br />Billing Address-(; ` f' r •'i I'( _- � —�— <br />City, State, Zip K i 4 t C (1t. , j <br />Owner (Mortgagor) I L t'<!, t, , (t ,L ( r, :,•,,. <br />Billing Name /) ti" IL <br />Connection By /i oa <br />Address_ <br />Phone 1 4'3 — 3 7 .0 <br />DESCRIPTION: <br />Lot ( Block <br />Plat I . I f i/;1 ot..rc. <br />Unplatted Description <br />Type Permit: "C�-IL, ( , <br />SEE SKETCH ATTACHED <br />CHART NO?"2. <br />Utility Account No._-' j"+ - ' 'Ol c( - ( <br />Permit Fee_ f r.' ( `' <br />Connection Charge(s) L << t <br />Total Fee <br />Signed <br />Customer <br />Sewer District_ _ ( ` -„ 1 <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk L <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />4pproved By <br />City Enameer <br />ssued By i <br />nspection By -- <br />ate Inspected_ <br />NO. <br />r <br />