Laserfiche WebLink
I <br />� <br /> CHART NO.�j�A � l'�'� I <br /> . , � <br /> everett ' JO .$' T� � I <br /> e s- 23 - � g � <br /> � <br /> City of Everett ` I , <br /> Engineering & Community Services "��� � <br /> �I <br /> Sewer Appl�cation and Permit � I <br /> ; <br /> N0. I i� �3 1 DATE —�/-'� ;I � <br /> .; - � � � <br /> Service Addres� "` ' ��� J Utility Account No.. — � <br /> Permit Fee_. -"� — <br /> Billing Address__ � <br /> Ui;y,State, Zip `" <br /> '� �%v"� • %� "' �'� Connection Chargels) ��l- <br /> ✓ <br /> � <br /> Ownei �i.�ortgagor) Totai Fee � "_ � — � <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> ��-,�/ �/�r��r✓ <br /> CusloTer <br /> IPhone <br /> DESCRIPTION: � Sew�rDistrict -- -- <br /> �ot_ Block Monthly Sewer Service_-- ' <br /> 1 Plat - <br />� Unplatted Description Monthly Sewer Constr. <br /> Trunk -. <br /> Type Permit: ._�� _ � � <br /> �,�. <br /> ; Lateral <br /> Remarks: _�� ,5�, ,$. Co�....-.�c. Z�`� � Abutting Lot Line <br /> ��.�.cc.....Z`i it t-ei � ��C N, S, E, W _ ft. <br /> /�G' � �y�.� /7/. /"� _+=^'�;��� <br /> �--- - <br /> -- .� I <br /> Apµroved B�y,L_ �;a; .::,. .,.: <br /> , c��v �o��ae, <br /> _ I ) ! _.� � <br /> Issued By � � "'�"'- <br /> ' Inspection By_- � ` /71 <br /> --- YDate Inspected 'Fr> /�: �' `'- <br /> 0 ---- _ - --- — <br /> SEE SKETCH ATTACHED NO. <br /> i�!sPr.r'1 r ,;� <br />