Laserfiche WebLink
CHART NO. � � `� $--S <br /> everett _ A <br /> e .�p-�� <br /> ����:�� <br /> City of Everett � <br /> Sewer Application and Permit <br /> NO. Z3O�� DATE �'n.�--c-G� s U� /`�J� I _ <br /> Service Address�' � � " / � �-�'— Utility Account No. %5��� <br /> � �i � <br /> Billing Address;� a� -S �'' _ Permit Fec. h0 <br /> `� �d-� �' S Sd °� <br /> City, State, Zip���r �-e'��C�' - �Yt- - ` �U `� Connection Chargels) <br /> a <br /> Owner (Mortgagor�l / � -'� �� " Total Fee ''d �l <br /> Billing Name � ' __ <br /> Connection By �--.-�+- ` _- <br /> Address ____ _ Signed <br /> cusromer <br /> Phone 3-`' � -- ���E� - <br /> � ��DESCRIPTION: Sewer District �:� <�r-.-r- <br /> Lot � ' �' Blocl. `� a �_ �' . 5-� <br /> —�'- Monthly Sewer Service o� <br /> � -, <br /> Plat 6��ir� .'�..��'�� �_�2�, j, <br /> Unplatted Descnption Monthly Sewer Constr. <br /> �� Trunk� /�� x/D_nc <br /> Type Permit: ��,,s� !i�-,-z<t=-c��� <br /> —� Lateral �x ^' `'"� 3Y� oa <br /> Remarks: � <br /> — Abutting Lot Line <br /> N, S, E, W _ ft. <br /> �=" -� ' - <br /> Approved B�y` � c-�_� <br /> ' City ngineer M / <br /> �� /�i - � - � <br /> �ssued By � - �� <br /> �� <br /> Inspec2ion BY�'���-�2/ <br /> __..__ _�Date I nspected � ' � � ` !� ' <br /> SEE SKETCH ATTACHED NO. Z�O�S <br /> INSPE�LTION <br />