Laserfiche WebLink
( <br /> � � `' � <br /> ` 5; �- , 7 CHART N0. • ... ��-��-,�; <br /> everett <br /> ���5 r�� Z N <br /> � <br /> City of Everett <br /> :.En'g'in�ering & .Community Services <br /> Sewer Application and Permit � <br /> rvo. � 1 ( �. 6 DATE � �' 7 <br /> Service Address��Cf ��'��L�'� �•�v� Utility Account No. <br /> / / ��"?J <br /> ! Billing Addre,. _��'�L- Permit Fee � ' <br /> t <br /> � City, State, Zip �'�"�'���� G'��2'� � Connection Charge(s) <br /> Owner (Mortgagor�-7`�-C' G,///:7Z^KR�/��`,� Total Fee /� � S � <br /> BillingName ��»�- <br /> .- �'- <br /> Connection By ��.. � !�7=�-� L�-=,a�NE f1 ; <br /> ,J /? � /(�� � <br /> Address� • C �-'x' I Lr�' __ Signed f�� !/-�C - <br /> Customer <br /> �LS Z! - 2Z <br /> Phone y - <br /> DESCRIPTION: Sewer District <br /> Lot� -"'>' � 'r-� Block� �1 C.1 I <br /> f Plat�U+�ZE=.-77- Monthly Sewer Service ' <br /> Unplatted Uescription Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: �../,f�(� � �� . <br /> Lateral <br /> Remarks: <br /> Abutti�g Lot Line <br /> N, S, E, W ft. <br /> � <br /> Approved By �• ���"/�//t1%�-: C� <br /> Ciry Engincer <br /> Issued By � � ��'�f✓��'v <br /> � �-�' y�-- <br /> Inspection By.�,���iGUI�+-� <br /> Date lnspected �'�-��7 7 <br /> a � �— <br /> � � EE SKETCH ATTACHED N0. �� < < ��_ �.:� <br /> 1 .. ,: . � ' CTION <br /> ` .. <br /> t�a::� . . . _ _ �lYh <br />