Laserfiche WebLink
J <br /> CHART NOl '-' � "' ' `� <br /> � everett <br /> e <br /> City of Everett <br /> � <br /> � Sewer Applicction and Permit , <br /> N0. 24617 DATE �l,�f' �.J <br /> -� <br /> Service Address�� Utility Account No. <br /> i ___._. <br /> Billin Address -�- � � � � � ✓� � <br /> 9 Permit Fee <br /> City, State, Zip �� � �� Connection Charge(s) <br /> Owner iMortgagor) xG� ' Total Fee ��� <br /> Bil�ing Name <br /> �? r <br /> Connection By�.iSJ�i,ra ���,4'. _% <br /> Address Signed <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lo ' � BI � <br /> Plat ✓ � �j� Monthly Sewer Service <br /> Unplatted Description_ £�i--�e:- Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line I <br /> N, S, E, W ft. <br />� Approved By �'• C�/ . %i%��t' <br /> City Engineer <br /> Issued By � �1.rx.� <br /> � <br /> I <br />, Inspection By�/���irx�r � <br /> ' I Date lns ec e B �3 �3 � <br /> p t d <br /> / � <br /> ��� I� I SEE SKETCH ATTACHED Np, 2��1T <br /> I _ INSPECTION <br /> OSF�� � � <br /> ' .. 1 <br />� <br />� <br /> I <br /> l <br />