Laserfiche WebLink
everelt � <br /> e �� � <br /> City of Everett - <br /> Engineering & Community Services <br /> Sewer A�pplication and Permit � <br /> NO. 2 2 c�� 7 DATE l�- I�_ I E--- — <br /> ServiceAddress��1'��`� G+ <<==-�rw�u ��_ UtilityAccoun! No. <br /> �'L� <br /> Billing Address �•Uf�Z d d j?�� ��J�: Permit Fee �-� �--' <br /> City, State, Zip <br /> {` ,t;-C� �t,Lt�, �.1-��-� . �'"-� �'�' I( Connection Chargels) <br /> � -`�,O ���J <br /> Owner (Mortgagor)GU��u�- � ��L��-��c:. ��K`> Total Fee___ <br /> , <br /> Billing Name�-.l,a'7-f�,,. i (-�U,••�E :_Lu�[`� <br /> Connection By -���^'r �- _ ,' � <br /> � �,�� �� � <br /> Address l f'``T-2-4 �-� i�-1 �Jt, Signed����"�'�__� <br /> � Customer <br /> Phone '�" �'''- I -14 Cp _. <br /> DESCRIPTION: <br /> Sewer Dis[rict_ h^-� �-� r7�t L� �� <br /> Lot l�I G �:�C) Block ���� C.:� iL , � :.C� <br /> Plat `��"'�' �1 c" . Monthly 3euver Service <br /> � t �n� �:,�-, <br /> Unplatted Description ___ Monthiy Sewer Constr. <br /> Trunk <br /> Type Permit: �l.(l� !. � i-�,,� - , c ,�J <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N• S� E� W--- ---- ft. <br /> — A nved B � ( �C_.l_ '�_�I ti." �---- <br /> n� v_.. <br /> GW Enp,�.rer <br /> �..- �i l c-t.�\41 til+✓ <br /> i Issued E3Y---- --- <br /> Inspcctitin BY-------�-�---- ------ <br /> Datc Inspccted ____..______---- <br /> � SEE SKETCH ATTACHED N0. 2ZZ .� � <br />' i INSPECTION <br />