Laserfiche WebLink
everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />No. 21768 DATE .— <br />Service Address 141(r ('( t ' Cy '"'e -C <br />Billing Address ldleoc IV' <br />City, State,Zip'�j'�E>n <br />Owner (Mortgagor) �f 1 N��1 �__ff✓�'G�ti_ <br />Billing Name �af� N/iJ �= iC�k L III./ — <br />Connection By- LZ <br />Address 1016, /t • <br />Phone ✓ E:;� ' — � — <br />DESCRIPTION: -'j r4 F7 <br />Lot 4 Z Block <br />Plat'y�tu t-Y /134=-eA'4 %G• <br />Unplatted <br />CHART NO. ` ' `t `"% " <br />_A l , <br />Utility Account No. 3 -3 &' 71-7-7' 0 / <br />Permit Fee �30 UU <br />Connection Charge(s) 44 <br />du <br />Total Fee ✓�' <br />Signed_ -- <br />e <br />SEE SKETCH ATTACHED <br />---Ti'SPf.CTIOFJ <br />Sewer District 4' 6000-o -=— <br />Monthly Sewer Si!rvice ry/f- !;17�1 <br />Monthly Sewer Constr. <br />i runk Q• 9 4j <br />Lateral ---��OI <br />Abutti� Lot Line <br />r N„ S, E, W lee 5 ft. <br />Approved By A� ,4 6C <br />City Engineer <br />Issued By GiJ L L,Ji-J.JXJ <br />Inspection By �7l-t!•i� <br />Date Inspected <br />No. 21168 <br />