Laserfiche WebLink
_ - . . . '.p�' � <br /> � �� CHART N0. �.� = 7_ � "_n <br /> ( everett � <br /> ' ��'S �Q��' � �: <br /> e . <br /> City of Everett � <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. `��, � 2Q DATE G l�I/�7 �7 <br /> i -7- <br /> Service Address�y� � L'�J �7�-�•� /-��� Utility Account No. � �'�^� G ��7 �� � <br /> Billing Address�J x'¢ 1��='i �? .�� C Permit Fee ��• vU <br /> citv, State, zi ��iav_rsU��c.�: /C.�C�. °�° r��F. d/,c�J <br /> � Connection Charge�s�_ �. !7 <br /> Owner (Mortgagor)��Lr.C-+�- ���T7Y Total Fee -�U• pu <br /> f �� <br /> Billing Namc� ` 7-' "�' ' �• �LS.-�it <br /> .r`,, �— <br /> Connection By �-' �-�d_.�L"Cr� � ��7-/( Ut• , <br /> Address��C.�' c�. {3"�4,.�G.�.dJ CV.J'� Signed—•r ..� . ,. ! " � � �..�' <br /> c�:�om�. <br /> Phone �'>>.� — �J��U <br /> i <br /> DESCRIPTION: Sewer District � F�`?��� � -� <br /> Lot � �=' Block �z .:�� <br /> Plat�=�-'��jk-"�E��-�� C�G.-G'�-� Monthly Sewer Service <br /> Unplatted Description Monihly Sewer Constr. <br /> Type Permit:�( r�:GU /� � Trunk �' G v <br /> C�L-'N.G�G �c� <br /> Lateral <br /> Remarks. <br /> Abutting Lot Line <br /> N, S, E, W ft. <br />� Approved By L /�L-�����u iy <br />� City Eugineer � <br />� Issued By L G._.vLc iJ idv;l,cJ , <br /> 1 <br /> � � , � <br /> Inspection By��� � -��-�--r�--� <br /> n <br /> / Date I nspected_�7 <br />' S�E SKETCH ATTACHED ' " ' <br /> � N0. �. _:. ;__ : <br /> irisr�c�no�� <br /> —t: -. <br />