Laserfiche WebLink
..,._� <br /> 1 <br /> CHART NO.� �O 'Z� � <br /> everen �e�.�"-G�� : � <br /> � /2 � � ' � �� � <br /> City of Everett ,�Ip � � <br /> Engineering & Community Services <br /> $�wer ,�►pplication and Permit <br /> ; � � : o i: ,.'. �.r- <br /> N0. � � h I i DATE �� � - <br /> � � ; � ., i , ,.� {-� UtilityAccountNo. <br /> Service Address_,'� _ _r" <br /> Permit Fee � `� <br /> Edling Address J'1 ` ' `-� <br /> City, State, Zip '' �/" %` Connection Chargels) <br /> . .�' �' ;' . :7 .... ,.�:,_ _ Total Fee �, J <br /> Owner (Mortgagor) "� J <br /> BillingName -�'f�`J . <br /> F: ��} <br /> ' --it.i .�—y^�✓. .�•!"i �, ( ytC 1 .�iS/`' <br /> Connection By= " �I �N � \ � ������ <br /> � �� xs <br /> � >>:, . �:,' .J�.�",� Signed <br /> AddfeSS Customer <br /> Y'Z <br /> Phone �' J s �G� Z ,�� ; <br /> ,_:ri ,. .�. J <br /> Sewer District - <br /> DESCRIPTION: �{ <br /> Lot '`�—� � i ,'� Block �' ,_ Monthly Sewer Service <br /> Plat " ✓ <br /> Unplatted Description Monthly Se�Ner Constr. <br /> Trunk <br /> Type Permit: - - <br /> � a � Lareral <br /> ._.l . .ir �.�v4. ...( ` (.r!..f� �"� .yw.L�Jt <br /> Remarks: Abutting Lot Line I <br /> N S E W ft. <br /> I � ;':�a .. ..,�:...., <br /> A(l�lfOV@CI BY . Ciry Eng�eer <br /> !. <br /> _ 4� - � � ; <br /> �s5ued 9y ;tr �.L:l� �er � <br /> � ! <br /> Inspection B �G J I <br /> ( <br /> Date Inspected /� �� 7` 7� <br /> p N0. <br /> SEE SKETCH ATTACNED <br /> � �',i-'.,;'Ci_'.11�)�-! �� <br />