Laserfiche WebLink
evereK f�� a c �; � -_� �� <br /> CHART N0.�� L��;� <br /> � bvvc - � ��6�19 �o y �� i/Z`/>y' <br /> ,� � <br /> City of Everett <br /> Sewer Application and Permit <br /> No. 23259 DATE ;���� I <br /> Service Address�,�� �� �L' � Utility Account No. — <br /> �'o �'�— <br /> Billing Address / r Permit Fee -- <br /> � ;' :+ Connection Charge�s) <br /> City, State, Zip ' ;� <br /> Owner (Mortgagor) Total Fee �n �—1 <br /> Billing Name,�, � � <br /> I <br /> Connection By = � <br /> i�� / Signed .� - <br /> Address - c�:�o�� <br /> Phone ;. � — ' — <br /> DESCRIPTION: Sewer District I <br /> Loti � Biock Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ��� ' <br /> ' Lateral <br /> Remarks: Abutting Lot Line <br /> q N S, E, W ' - ft. <br /> � <br /> � o ✓ Approved By <br /> � Ciry Enginecr <br /> I Issued By —� <br /> � <br /> iuspecunn By �'�'�'� `"�" � i <br /> � � <br /> Daielnspected � �s� 7J' <br /> . <br /> SEE SKETCH ATTACHED N�• G3Z59 <br /> INSPECTION • I <br /> � <br /> L .. . <br />