Laserfiche WebLink
I ' i'__H-/~"� �(�.-C.-. . <br /> CHART N0._-�' " <br /> ICYC�en , _ � G� <br /> e <br /> City o4 Everett <br /> Engineering & Community Services ' <br /> Se�w�r Applicati��� an� Permit "" � <br /> N0. � �1 H 4� `7 DATE �.�/7 �� <br /> Service Address /6Q� Z'��''` °'��LJ Utility Accou� iVo. _ <br /> � BillingAddress _ Permi* Fee �� �����—�^�1 ` <br /> [ � <br /> f �� I' <br /> � City, State, Zip Connection Cherge(s) <br /> i /�� � o " C,�� <br /> � Owner (h4o�'gagcr)._:-� � :c-�` /�����-!.� Total Fee �'�__i /(;. _. <br /> i �! �': _ ,'; ' <br /> T <br /> 1f.i!'ii!J .`,.,-I(�2__ �''!fGLr.; :��,._ . ..�' .-�-��-/�<- ry <br /> � � (%�� ''""�`` �I <br /> Connection By `--� J ��� �,�/� �� . ._ �`��'.;,=G ,y !. -.-.� � <br /> 1..�'�_��� <br /> ,/ .-"'� % 1 <br /> Address �Z �� � 7� :i1>�C�.��', .� �.J-: .Si�ed � 1��il' _- `.7/-F�-: <br /> �iU-,L,. �� GSi/6• l��,�'6 � � .. Cust ei <br /> Fhone ' <br /> y - ., �l <br /> DESCRIPTION: Sewer District I <br /> LotJ�'�F"7� 7 Blo k�— ; <br /> Plar�--�1�-� �t,�LC Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ��. �,_� ,` - ' ' <br /> Lateral <br /> Remarks: I <br /> � Abutting Lot Line <br /> � N, S, E, W_ ft. <br /> Approved By � � /t�G��rc. �.t. c/ ��'� <br /> City Engineer �, <br /> Issued By � G.,_:> �. . . ,, , . �,� <br /> � <br /> Inspection By ��''�.« �uck <br /> � ---- Date Inspected � � � <br /> a <br /> EE SKETCH ATTACHE NO. ' <br /> If��SP�CTIO� t <br /> —'�l."3L <br />