Laserfiche WebLink
everett I <br />� <br />City of Everett <br />Engineering & Community Services <br />Sewer �4�pplica�tion and Permit <br />No. 22683 DATE _ ( I�I , 1 7�r <br />- -�-f- <br />Se; vice Address � L�� L �-�,) .%/J� \' i t^( �r� <br />Billing Address�� ��,� �I Z; �_ � �,_L) <br />�, . <br />CitY, State, Zip ILli C�� e;;-( �� tT � ��-^n ��1 < C_ <br />Owner (Mortgagor) �f•> � � L � �•l�L i4, � <br />Billing Name ��_}.J L_ `� ; y t:• ��j; --� <br />Connection By_�='� F. \ ��_. � L <br />CHART N0.___. <br />Utility Account No.� C`..:> ' <br />Permit Fee ":�- � � � <br />Connection Charge(s) `�'r�� - �`' <br />Total Fee _:L. � U <br />Address Signed L---::-: , <br />Phone //`�� ` C: � C. c_i c�:com�, <br />, <br />DESCRIPTION: � ,7_ <br />Lot Sewer District -.7 (�.�F:� ct <br />Block — <br />Plat Monthly Sewer Service �t ��� <br />Unplatted Description � v' C `�� �� 1� �- L_-� . <br />� Monthly Sewer Constr. <br />SEE SKETCH ATTACHEC <br />; , , ,. • <br />�,:; ':�i ,`h <br />Trunk = Z CJ <br />Lateral 7 - 1 (J� <br />Abutting LotrLine <br />N� S• ����w � �. <br />�pproved By <br />City Engineer <br />SSUC[J <br />ispection B <br />ate Inspected <br />r � <br />F p'Y � • <br />