Laserfiche WebLink
i everett CHART NO.�� z `f -z v- 4 <br /> � /� ; � � � j/,� <br /> ' � . . ( ..w <br /> � " , <br /> City of Evereit ... <br /> � Engineering & Community Services <br /> j Sewer Appiic�at�an and Permit <br /> , <br /> � NO. � � ( � � DATE ���7 � _ <br /> � <br /> � .•. <br /> � Service Address �f'�_Z J �=v�'�-1/GLC-:i(J GL�/�Y Utility Account No. <br /> � Billing Address �L V L�-' E-�'�-'�-�-/KG-E.�.� ('.h%��'=,*' permit Fee_ ��t-i �'U <br /> � <br /> City, State, Zip��-'���%�� �--U�� ���4 Z��- Connection Charga�s)___ <br /> 'vi��i C� �� <br /> � Oevner (Mortyagor�_ � �-=�C�: � Total Fee ��'� � <br /> r <br /> � BillingName --=R-��� <br /> Connection ByC=--+��c�� ��/1<%(��-1�'F_.. / <br /> % r �> , � <br /> �� Address �+1 C...''>Z �tit i T"�v _ Signecl �f' ���1-�-. �L'�� - <br /> � �� "� <br /> � —7 G�L ' �� ��?' Customer ' <br /> Phone � <br /> i —_ <br /> � DESCRIPTION: Sewer District <br /> i Lot Block _ , <br /> � Plat_ Monthly Sewer Service_ <br /> � Unplatted Description L-+ ��t. ��..Q ' Z a - � Monthiy Sewer Constr. <br /> ` Type Permit: ;aL;�;�/.�j j(,•,U Trunk <br /> f i <br /> I L.ateral <br /> � Remarks: <br /> F Abutting Lot Line <br /> � N, S, E, W ft. <br /> ! �eu) V1't � 2,.,'�- G�-_�' _ �'. <br /> [ � <br /> � �/L r �-l�/C�/l1 /,L� t �, <br /> 1 �� • ��"� / <br /> ` —.m_�C�, n� .,,�n <br /> Approved By `--' / <br /> � � Cny Engmecr <br /> � I <br /> Issued By� ' ���-t_ !1l�(��..� <br /> I <br /> � 9 <br /> Inspection By ���-t�-.--� <br /> C 3 Date Inspected 'y�w�7 7 <br /> � SCE SKETCH ATTACHED' NO. <? <br /> I I�!. r� r,�ri;;ri ^�^� <br /> t �s,4�!- * r '°47p .�e +�R s•'�I ��s,��-n'FyT'r ..--� �'�, ---•- i T•p,i-, _ <br /> �'hl"S i ` raj.t''Fl ,�YiF r�. 1} . . � � ' ' �(�d . .�. <br /> � <br /> „ <br /> t . s. _.�I.� YLC " _. ._'... _..e ^'. ! n , ` (qY.."t' . !-. ... . . I '. <br /> , - <br /> - � . , t......: �` *' .., :� <br /> "y�"� iz <br />