Laserfiche WebLink
�''�' .•J Li(J�\ C']� <br /> � /; I_ <br /> everett CHART N0.f� %� —•�'' �` � <br /> � ���j��-� 7c_� <br /> . _:� ������� � l�. �' � _� <br /> [I t �.� s �. ' � <br /> City of Everett � ', '' �� � � <br /> i , , <br /> Enqineering & Community Services ' $EP 6 1�]� l <br /> , �/ <br /> Sewer Application and Permit � -;,;Y o�E�,_��TT <br /> t'ny�inee»n;�. : . <br /> NO. • DATE � ^' � ! 'r� <br /> Service Address�L�/ - L.�.:— -�.- Utility Account No. �j— ��' �� ���J/ <br /> � � : �-� �i <br /> BillingAddress=�� ��l '�= -�.��-,:: �. /� Permit Fee J'� ��� <br /> City, State, Zip .''�. , � ` �D,�'!5 Connection Chargels) �j G�' ��— <br /> Owner (Mortgagor)-_ � � %�`� �. � �� j , ' ' 1 <br /> ��- <br /> Toial Fee J� <br /> Billing Name <br /> Connection By �__ <br /> Address � <br /> S igned -...�..�,,.� <br /> P�IOtIC ��/ /' �SV 3 Customer � . <br /> DESCRIPTION: <br /> Lot �h Sewer District .�� — __ � ,� <br /> Block <br /> Plat �� � Monthly Sewer Service •�`% ^-. � <br /> Unplatted Descripti Monthly Sewer Constr. <br /> Type Permit: .,',.:_„y� Trunk (=' • �� (. �;�jy— ' <br /> f__ — <br /> � . <br /> -- Lateral � �� li�' , <br /> Remarks: <br /> �_��i <br /> Abutting Lot Line <br /> � N, S, E;'W� �f/'�' ft. <br /> _ , , i <br /> APProved�By, i _/.�.. . , <br /> Gry Engi�cer . <br /> ! <br /> — Iss'ued By r � _ -_� <br /> .. ._— �^�9� J� . <br /> Inspection B � ��1� - <br /> J <br /> __ Date Inspected�� <br /> SEE SKETCH ATTACHED h,� , <br /> � -._ _ . ,_ . , , - , . ,,. . . �.���ir• c�sn, <br /> �-� . , -� .,. . f----,.--..—..._.._._ _.__ <br /> � i,.. - ' . . .. � . .. . -. , .. , . ._ . <br />