Laserfiche WebLink
. , <br /> - � <br /> � �t' s T�- `� <br /> eyerett ' " <br /> / ;¢' ,.,/..., < f� G- ,�� ;� ,� f�. <br /> � Q? - 20-2 'r — s '� <br /> � � . � .� _ ,.��� . � �. , .�,� �- <br /> ,- <br /> /— � G -- 7 6' /�(I�P.�'�hr. �Y l c. 1,;, i C�.�+/l.Q- <br /> J � <br /> City of Evsrott < '���r �.. ey i ' /l.a.+t- <br /> En�inwrin� D�prtnNm �J- 1" / � <br /> Sewer Appl'Kation and Permit a'^ ",. � . " . .-. !` ���� . , <br /> i , <br /> N0. Z 11 S 3 DATE ' �.,% � <br /> 1�3 � ' ' � <br /> � <br /> Service Address ' �— UtiAty Account No. <br /> Btllinp Addresa Connection Permit Fee ' ' <br /> City,Stete, Zip Connectfon Fee i <br /> Ownar (Mortpapor) Totel Fee ' � — � <br /> BillinQ Name � <br /> Connection By ' • � � � ' � ; <br /> Addreu S�e"� , � � ' <br /> c�ntom�r <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot - <br />` Block Monthly Sewer Service <br /> Divieion or Addition '� � Monthly Sewer Constr. <br /> 11 <br /> I Trunk <br />� Type Permit: <br />, Lateral <br />' Remarks: i <br /> I - Abutting lot Line <br />, N, S, E, W n• <br /> i <br /> ' � <br /> � .f...�[. -�- � <br /> . /,. r� , p <br /> ���: <br /> Approved By � �- ' ' �� <br /> cirv e�oi�.« <br /> I �SSUBd �iY <br /> Inspectlon By <br /> Date l�spected / L ' y- �S __ <br /> , SEE S!!ETCH ATTACHED No. 2118 :� <br /> INSPECTION <br /> � <br />