Laserfiche WebLink
f CHART N0.�3��:��'S� <br /> everett <br /> � �ra s S'�/� /, �s�l <br /> , � �:J <br /> ; <br /> i City of Everett <br /> Engineering & Community Services <br /> , <br /> � <br /> Sewer Application and Permit ` <br /> � , <br /> n,o. 2 �. g2 � DA'fE ' "� ' �� � <br /> Service Address_ �� %� :� �'-^ ' � <<i%- � Utility Account No. ' " ��� - / l� ' � '' <br /> /� u <br /> i Billing Address— %�XD � i�� �f -:!• �% Permit Fee � '�� -�� <br /> � Cit State, Zi �_o -.<:- �'i' J'� <br /> y, p /7� /.�c ' Connection Charge(s) `U � <br /> I � ' O� <br /> Owner (Mortgcyor) C r�-.� � ,� �"--` - � v Total Fee J � � <br /> BillingName - ��rc.;_,._C..� , <br /> r <br /> Connection By- "_ .�..— . <br /> 4 ��� _ �i. <br /> I <br /> Address Signed- �-'� - � . <br /> Customer <br /> Phone <br /> ; � ='- '19 />`_ ' <br /> i <br /> f DESCRIPTION: SewerDistrict �� ' �-r•-.� � ' <br /> � Lot � % Block r_ .-, <br /> IPlat / : / Monthly Sewer Service .= � S� <br /> Unplatted Description _Monthly Sewer Constr. <br /> Type Permit: ;.•j , r . Trunk �� - �' Q <br /> c i <br /> Lateral � <br /> Remarks: <br /> Abutting Lot Line <br /> _ N, S, E, W ft. <br /> __�- -? , � ' <br /> Approved By � . �i:: .� -��, _ <br /> City Engineer �� ' <br /> / <br /> ' 'y <br /> Issued By �' '�' � ..r:r">— ' <br /> I Inspection By � ��s ac <br /> { ' -" - Datelnspected � .��r7'� <br /> i � <br /> ( � � SEE SKETCH ATTACHED N0. �. � .. __ �� <br /> ! I�dSP�CTI�Ii�I <br /> � ' i <br /> ; �_, ._. <br />