Laserfiche WebLink
everett <br />� <br />City of Everett <br />Engineering & Community Services <br />Sev�r�r App��icat�c�n ar�d �'�r�i� <br />n .. ; �- 1 <.-��'� � <br />Na. � _I. ! 3 �� DATE _ <br />ServiceAddress2���'� r�"'�"'� ' � "'� �' <br />Billing Address`` ��'�-'r� �L' �'� � "` k <br />City, State, Zip�-^���'�-�%T `7�� =' — <br />Owner (Mortgagor��-- U p-��`� �' �'�l_a�-t:T J«�P <br />Billing Name �f`�'�L- <br />Connection By �,��1''" E- — -- <br />Address S'�`���' <br />❑�.,...., "''� � -�'':.' `L�` 2- J j " <br />DFSCRIPTION: <br />Lot I '� Block l� <br />h_( <br />Plat �'.�-✓�?Lt--" �([..c.s <br />Unplatted Description <br />CH,4RT N0.`" � ` <br />` �D <br />��s <br />� � f� - 7 j' <br />�� <br />� <br />=��,_ C:i q - �-f �t- r� ( <br />Utility Acceunt No. <br />�_.., � . C> C.i <br />Permit Fee � -- <br />r �� -' , c � .� t--� <br />Connection Charge(;) � 1�%' �' � t 7 <br />���. U Cj <br />Total Fee <br />,, � . �� .. �' . <br />� , � , 1 f' <br />Signed ���L!'S..:i'tr� 5l':.,c l'�' �, <br />T Customer <br />� <br />Sewer District 1� �-'��f"''n '"r <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />� . � <br />L T1R �`(1SJ �: 1�,,.� I- rY' t ry r'��� _ � `�'���d'S <br />.� Sx.f��JN.�a �}V' <br />C�.Zt� <br />7 •� U <br />Abutting Lot Lin�.� � �i #{ <br />N, S, E V <br />Approved By. � ��� �4 — <br />City Engineer <br />Issued BY `-' . �`��L`-r� ���� <br />. • . : ,/.'��� - <br />r I <br />�. ' •• •� / �/ <br />• <br />N`..�� �A � i 4\~_ Il. Y;.. <br />'a:4 f � J/ }}.'. �i, � '� _i <br />� � �aP � <br />