Laserfiche WebLink
i <br /> � <br /> - / -� <br /> , CHART N0. r� �" _ I <br /> , e�rett � � <br /> i <br /> ; e � ��___ � � <br /> ; <br /> I City of Everett ( 7���¢�� � i <br /> I <br /> ' Engineering & Community Services <br /> � Sewer Appiication c�nd Permit : i <br /> � <br /> � <br /> No. : � � ') �,arE �IT� '� <br /> ! Service Address�' ��_�'� �-- ��"� 'Y L--�.:.� Utility Account No. � <br /> � <br /> � Billing Address ��V �-� �'1 T' � ��"''- N �- Permit Fee ,-�-� �`� ; <br /> i <br /> jCity, State, Zip �������=-�� ��-F-- ` �� �•��-> Connection Charge�s) ' <br /> � Owner (�dortgagor) � I • �-U Total Fee --"�� � � � <br /> i , <br /> � <br /> � Billing IVame �- l �--G � I <br /> i Connection 8y_ k- 1 �-c.' � / � ! <br /> � Address loGLl �� �T� , ��ut N �'- Signed � ; -,,_t� ,� — � <br /> lomar I <br /> (�. �.��l - 7(r l�( , <br /> Phone_ � <br /> I DESCRIPTION: SewerDistrict � �—'����� I <br /> r ; <br /> Lot � � Black ' <br /> ' Plat �=�r�.�.��L_�t�:. MonthlySewerService h�1�T�--�z�/� ! <br /> � � <br /> ; Unplatted Description Monthly Sewer Constr. ! <br /> I Trunk <br /> C� . l_C� � <br /> , TYPe Permit: i`I�v., �_c;,..�,,,.���_-T � � ,u - ' <br /> Lateral z� � V � <br /> � <br /> , Remarks: ' <br /> , Abutting Lot Line � <br /> ' N, S, E,( V� � �� ft. <br /> ; � <br /> i <br /> , APProved By_.�-- � �t_n.i r.i i �,y�' i <br /> Ci1y Enpinem <br /> h - <br /> � �'�.' J� <br /> Issued ByyL, <br /> i � <br /> � Inspection By � '�� _ <br /> i - <br /> � Datelnspected s .3d � _ � <br /> 0 <br /> I SEE SKETCH ATTACHED NO. � ! <br /> � Im,t�i � u,��i <br /> i <br /> � <br />