Laserfiche WebLink
^ 5 � � CHART N0. JO 2 ! S ; <br /> �`1A�- . �' - <br /> everett N�c. �''g-�� �� - <br /> ►` 91t� � �� � -: <br /> � <<; <br /> e . ._ <br /> City of Everett � ��—`� -1 ' "'" <br /> Enqineering & Community Services � <br /> Sewer Application and Permit ; ; <br /> N0. ,22620 DATE �. Cl_ /�_7' � <br /> Service Address 5��� T -�•-%�/ '�' ' Utility Account No. <br /> � <br /> jy�� �� c:,c--e' • Permit Fee 2� -�� <br /> Billing Address `�'" " "� "� <br /> ��r <br /> City,State, Zip 7 �� ''!"� • �� ^ G� �nnection Charge(s) <br /> � O 0/� <br /> -� �.-, . - Total Fee <br /> � Owner (Mortgagor) - � <br /> Billing Name `'� <br /> i c� , � � <br /> Connection By "'�'"" ! <br /> ��:• , L.:-"'�=�.• r..l�=-=' <br /> Si ned '-�� � ��t r�t,i'✓ <br /> ' Address 9 ,,.- cu:co r <br /> Phone � � �_ , I Y G, <br /> DESCRIPTION: Sewer District <br /> Lot �� �B�a�k � / Monthly Sewer Service <br /> Plat <br /> � ' -'•'_ ./ <br /> Unplat:ed Description .� _ Monthly Sewer Constr. <br /> , Trunk <br /> Type Permit: Il.... ..- � / � <br /> Lateral <br /> Remarks: Abutting Lot Line �., . <br /> N, S, E, W <br /> .:: �%� %� ft. <br /> � ' ' 1J�,�� <br /> ; j. - <br /> .�-v l�n� G�-9� - � <br /> �: � <br /> Approved By� , <br /> Ciry Engmeer i <br /> ' y" �� ! <br /> � "_ — � /� _ . /��•�—'.. . f�' <br /> Issued By <br /> ✓l�LJ <br /> i <br /> C <br /> - Inspection B <br /> Date Inspected � ���"�--- <br /> i `� `� `� <br /> SEE SKETCH ATTACHED NO. 2 L 'u ( � <br /> INSPECTION <br />