Laserfiche WebLink
everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />N0. 21956 DATE f- ,, ) 7 <br />Service Address 3 / 7 11 4" /7 <br />Billing Address Pc), 5u,( <br />City, State, Zip ['I v k 1.. -r /L- V /iL• <br />Owner (Mortgagor` n,a.,ii /- f4sS 0 L So/V <br />Billing Name_ Si71Z <br />Connection By l)l r( C 0 <br />Address <br />Phone_ _S ) Q 2-7- <br />CHART NO. M07 2-87 <br />Utility Account No. ti - t J r <br />Permit Fee — <br />Connection Charge(s) 7 -. J + <br />Total Fee 3J <br />I <br />Signed <br />customer <br />DESCRIPTION: Sewer District 31, <br />Lot Block _ <br />Plat of C. -12t r = i Monthly Sewer Service <br />Unplatted Description Monthly Sewer Constr. <br />i <br />Tr„nL <br />Type Permit: <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ ft. <br />Approved By - •�i JF!n�rtii es <br />City Engineer <br />Issued By c. --ew '0"�J <br />Inspection By �T�EE+t «•^� <br />Date Inspected %7 <br />NO. <br />