Laserfiche WebLink
_ � <br /> - <br /> t <br /> ; CHART N0. `'�: '-p y �d � <br /> everen `' <br /> � � � <br /> ! �� "J �_ � <br /> � .. . f�ti,. �. <br /> i G_'.r + <br /> ' ... ., . <br /> i City of Everett `"' y: <br /> 2, ., <br /> i Engineering & Community S�rvices • <br /> t <br /> � Sewer Application and Permit �;` <br /> � ' <br /> No. 21.7 3 2 DATE ���'/�� <br /> , <br /> � Service Address-%711� �-''�1=r�'�� �U�`��' Utility Account No.3— V f—���d� <br /> JZ��Z ���GA'?F��tl GCJA4 ��j' oc� <br /> Bi{ling Address _�A Permit Fee <br /> City, State, Zip�=��T �S z�' � Connection Charge�s) ! <br /> � ¢(j, D r� i <br /> � Owner (Mortgagor����A� ��F/l�x-��i�� Total Fee <br /> � <br /> ( 6illing Name='/)/v = �-/��G�L75 � <br /> � � S _ � <br /> � �e ,_;YG� ��C ��f %X.,,` ��L/�( �.c.J Si ne�`-t r-�s.r*'�C r!� .,.�,. I <br /> Connectiun B �L'�� �� - 1C"� I <br /> ( Add � � 5' g <br /> Customer I <br /> d'?L.` _ C�.�Q"..i � � <br /> Phone � -� -' <br /> i <br /> DESCRIPTION: Sewer District� �^"�`�'� �_ I�I <br /> � Lot � Block 4' !✓I�TL�f�» I <br /> � Monthly Sewer Service_ � <br /> Plat�_'_�=+��c.� �c �� <br /> IUnplatted Description Monthty Sewer Constr. ! <br /> � Trunk �� Z' �� I <br /> Type Permit:�/�'ZU ��,U,U-(—� TrB,t� � �• PJ <br /> Laterel 2• � U � <br /> Remarks. � <br /> Abu�.ing Lot�-�yine � <br /> N S C�/W 7� ft. i <br /> � <br /> ,�/ i <br /> Approved ByG • //C�.��ci i,u �i <br /> � Ciry Engineer � <br /> Issued By. � �iJ LG-/s I•�-7J�%� I <br /> -•- L L,.- �'�-��- Inspection By���„-� ���� � <br /> - �Ui�1 ate Inspected `� �� Z <br /> i 0 r +`�r �� �� , ��� <br /> SEE SKETCH ATTACHED N0. � � !C . � �- <br /> I , IfdSP�CTION , - <br /> � i,_ ,: p1� ,.,v,: . . _ <br />