Laserfiche WebLink
a a� e:_`'.�` q . «:�fw,.. <br />everett <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />N0. % �_ 1 ,i �� �l DATE <br />Service Address � Zi �� �� l�O�t� �c1F" <br />BillingAddress � J�� N/c/L%/L7Z��� L...c../. <br />CHART NO � ������ <br />���?'�"�J' <br />i- 3- �q <br />Utility Account No. �— 35 — O 7Z— UO <br />Permit Fee �• �d <br />City, State, Zip N��/�/LTt-lJ. LLl/� ."%rC'7Z.7S Connection Charge�s) i�/�>Y( IJL� <br />Owner (Morigagor) �C�P_,T. JL� r�L�I�EO Total Fee ��' a� <br />� \ <br />Billing Name G�f',T �Jll �iL� h�'-C� <br />Connection By ��C�2- �-fC���T <br />Address Sig�ed ��/" " ' ' � <br />Custo�r <br />Phnnr � <br />DESCRIPTION: <br />Lot � Z- Block -� <br />Plat ���C-�T LU � I S �-,...C.y. Grzua l� <br />Unplatted Descri <br />SEESKETCH ATTACHED <br />INSPECTION <br />Sewer District �=->C a p.�-•r� 1�L <br />Monthly Sewer Service ����%E.�7E /� <br />Monthly Sewer Constr. <br />Trunk �L • � � <br />Lateral 2. %5 <br />Abutting Lot Line <br />N,�,.�, W '� C � <br />APPro��ed By L .� ����C//nl�r <br />Ciry Engincer <br />Issued By ' <br />Inspection By �� / � �� <br />Date �nspected_ ���'� �7 � <br />� <br />, <br />N0. �r: _ �_) .� r.: <br />_ � � �. � ;. ;. ; , � <br />'"�`. �" '-_- <br />