Laserfiche WebLink
J <br /> , <br /> CHART NO/y .� -7�� � � � <br /> everett r�—� ' � <br /> � = ,�as�-G � <br /> � _ � <br /> City of Everett � � � � � <br /> Engineering & Community Services rr�C'7� /� � <br /> :��\ • � <br /> Sewer Application and Permit � <br /> , <br /> N0. � ( �3 13 j DAT[ �/` '�fi �'� � o K <br /> i <br /> Service Address � " � �- '' '�" � Utility Accnunt No. ! <br /> 8iiling Address Permit Fee �%�-r—� —� 1 <br /> � <br /> i <br /> City, State, Zip Connection Chargels) ; <br /> ; <br /> Owner (Mortgagor�__ Total Fee !'t-��'-- - • ' <br /> Billing Name , <br /> / ` � <br /> Connectioo By ��^�� � �L'—!' '� ��_ <br /> � y � � _° ; _ <br /> i i.T / <br /> Address ' Signed� �-<:_�.�' -�--, �""`' r <br /> Customer <br /> y�._i <br /> � Phone <br />� DESCRIPTION: Sewer District <br /> Lot _ Black <br /> Monthly Sewer Service <br /> Plat <br /> Unplatted Description Monthly Sewer Constr. <br /> _ Trunk <br /> Type Permit: �.0 ,..,£ :. _,,... <br /> Lateral <br /> Remarks: _ � � /�c�i� / � �oa f� m � /��.� <br /> " • / Abutting Lot Line <br /> ,rsJ �e - � .S � r � ' ,S� d ' isL.� N, S, E, W it. <br /> � � ! <br /> E aG,�« � a - � � . <br /> , � ], <br /> �" �� �i <br /> ApProved��8y . , <br /> Cify Engineer � <br /> 4 — � <br /> � i, �� <br /> Issued By � ' -'�—'-'`-"'' <br /> � <br /> � Inspection By L��'��/ <br /> '/ I <br /> � Date Inspected �/�� 7 �1 _ ' <br /> A <br /> SE[ SKETCH ATTACHED N0. '.� � ..i ti .� <br /> IN�PECTI0�1 <br /> :�� �: .:' . . �. <br /> ... ._ � <br />