Laserfiche WebLink
, � <br /> I � <br /> everetl CHART N0. .� �-� - ��"X � � <br /> -�'�r� . <br /> � ,�,��� . <br /> City of Everett ��� ;;r����� <br /> J <br /> Engineerinp & Community Scrvices !� J� ��p�5 <br /> • • � .�� J la10 <br /> Sewer Application cnd Qermit _,_ ,.____;_.. <br /> CITY OF �V!'^�rT <br /> Ewx��r,i :,� J-.:t. <br /> N0. ;� �; ,; i � ') DATE - ^ /_ / a _ <br /> Service Address �' ? � � � `-�'• - Utility Account No. <br /> Billing Address �.�� 3� y�f �� t%li-'. �t� Permit Fee %.r „ �� � <br /> City, State, Zip ?� � �i%"' - �r' � '�% Connection Charge�s) "�'�_ <br /> Owner (Mortgagor) ' ' � ' - '-'✓ Total Fee <br /> Billing Name �! <br /> I <br /> Connection By � �� <br /> � <br /> Address � Signed t. .�. �� , _- � - -.-<v .=� <br /> c��.�o�, <br /> Phone <br /> DESCRIPTION: Sewer District „1�._ � � <br /> Lot Block Monthly Sewer Service T_�__ <br /> Plat <br /> Unplatted Description _M�nthly SewPr Constr. <br /> Type Permit: , � • Trunk (} , - d <br /> / <br /> / Lateral �O <br /> Remarks: �_ ��w� ,s� ��„�� 'S S f ��� q�utting Lot Line <br /> ,�f lrCe'�G/ �-r a«-r� � N, S, E, W ft. <br /> / <br /> Approved By� � �/•=-; <br /> Crty E pmeer <br /> % <br /> Issued By �^ • � <br /> t---- <br /> % <br /> Inspection By_ -, � � <br /> __. ______._. _ . _ _ Date Inspected__t__ <br /> p . _ _ ._ —�-----—-- <br /> SEESKETCN ATTACHED NO. j <br /> � . , I <br />