Laserfiche WebLink
\ <br /> 1 <br /> ' CHART NO..� � � <br /> everett .-- ] � <br /> ✓ �(/� � . � / <br /> e > � <br /> /— � / � / <br /> City of Everett ` � <br /> Engineering & Community Services � �,�. ) / ��-/ � ' <br /> � i; <br /> Sewer Application and Permit ` , <br /> .f� , <br /> NO. � j �� 3J DATE . "- � � - % ' I <br /> Service Address �� ��� � 1' -' Utility Account No. <br /> - // � / � <br /> BillingAddress `' �f f��� !�Permit Fee _ �� <br /> i�7; '� % Connection Charge(s) •' `'� °�� <br /> City,State, Zip , <br /> Owner �Mortgagor) � ' ~ ; Total Fee - ' <br /> � Biliing Name <br /> Connection By - ,�" `` ' - <br /> Signed .""�- _ "� <br /> {�dCi e55 �Customer <br /> Phone �' " :' ';/,> <br /> D!:SCRIPTIOfV: Sewer District i�� � <br /> �� <br /> Lot � � Block Monthly Sewer Service <br /> Plat ( <br /> Unplatted Description Monthly Sewer Constr. <br /> � <br /> Trunk - � • ' `�� � <br /> Type Permir � � � <br /> � Lateral _. <br /> Remarks: Abuttiny Lot Line <br /> N, S, E, W_ ft. � <br /> � <br /> Hpproved By <br /> City Engineer <br /> Issued By � <br /> Inspection B �t '��'�''/ I <br /> // a � � <br /> Date Inspected — <br /> a <br /> SEE SKETCH ATTACHED N0. <br /> li C:I'I ��� i`!", <br /> i I <br /> � <br /> I <br /> .T�__�... , <br />