Laserfiche WebLink
I <br /> i- �: ..� <br /> everePt CHART NO.�I — Z/'.�I- �'S� <br /> � -- � <br /> City of Everett --� <br /> ��s � <br /> Engineering & Communiry Services j -'� 'j � <br /> Sewer Application and Permit � <br /> , <br /> ��-� <br /> NO. �� 1U ; � � DATE �, � "'l I <br /> Service Address� ` � / _ Utility Account No. <br /> Billing Address�Z.' e : . � ' ; _- <br /> >. Permit Fee _ (j <br /> City, State, Zip_-_��` �1.f . ,� /�' >� / Connection Charge�s) <br /> Owner (Mortgagor�=� �-� ': >>� / ✓.^', ); . Total Fee " <br /> BillingName • �• - �� <br /> Connection By_= �� _ ,j _ <br /> — � <br /> . <br /> Address '' , / --�� _ i t` Signed�'�•- r .% � � _� <br /> Phone_' ` � � ' c�:m�„e, <br /> DESCRIPTION: > > ' <br /> Lot� Bluck ' -' � Sewer District - ` <br /> Plat {� � -!:c � ,�'„ Monthly Sewer Service ' <br /> Unplatted Description_ Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> ), % <br /> Lateral - <br /> Remarks: <br /> Abutting Lot Line <br /> , N. S, E, W it. �- <br /> APProved By , �J� ,• : ., .. <br /> c��v e�o��ce, <br /> Issued By �% � i'.( �-o / <br /> Inspection B � �— <br /> o Datelnspected v'"� -�____ <br /> SEE SKETCH ATTACHED N� <br /> ��� ����I'i r. I In._ . . . .. <br /> � I <br /> i <br />