Laserfiche WebLink
everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO. 22131 DATE l <br />Service Address L ! t < 1- L- t=-'" i t:,- t r <br />Billing Address c'CZ'j E_r''t%'-1 <br />City, State, Zip <br />Owner (Mortgagor)�F-+ti <br />Billing Name-Ft:'-3 <br />Connection By �—' (I�c'-`""k-t_7L i , <br />AAArpec 1.1 �+�L ` Lf. I TLl ij (L- <br />Phone i-r c-.,rr - Q-CU <br />DESCRIPTION: <br />Lot (-` 'i <br />CHART NO.V� �'M' f <br />Utility Account No <br />I <br />1 <br />4 3 - 76 <br />.e- <br />Permit Fee /Z" �::�U <br />Connection Charge(s) <br />Total Fee <br />Signed <br />Customer <br />Sewer Distri <br />Plat Monthly Sewer Service <br />+� <br />Unplatted Description ��!t=•+'t-Y+t-t - 3 Monthly Sewer Constr. <br />Block <br />Type Permit <br />Remarks: <br />SEE SKETCH ATTACHED <br />T <br />Lateral <br />Abutting Lot Line <br />N,S,E,W. <br />Approved By / le— A 't 1 <br />1 fCCity Engineer <br />I co�iorl R., l_.. ` /d (- L-/j <br />Inspection By le9f e -�, " <br />Date Inspected_ <br />NO. e_t2 13l <br />INSPECTION <br />