Laserfiche WebLink
..._.. . _. . ' I <br /> ICHART N0. -' _ <br /> CVE'fCh �I � � <br /> J <br /> � �II C( � ��^ / ��� . . <br /> G ��� � <br /> City of Everett i � ��/ ' �/ - <br /> Engineering & Community Services ' <br /> Sewer A lication and Permit �� <br /> I�P <br /> N0. �' �� i; � '� DATE _� �- ,%�l' �_ � <br /> ��/ _' �' <br /> Serv�ce Address ��- �7 i i � �G � Utility Account No. � J � <br /> ^ ` �' <br /> Billing Address �f� ^ �^���� �- �� Permit Fee ?� � <br /> � ='"� <br /> City, State, Zip Connection Charge(s) � ��% <br /> s:�-- <br /> Ov✓ner �Mortgagor) Total Fee %�' � <br /> Billing Name <br /> Connection By -1-� � <br /> Address Signed �-- <br /> Cusmmer <br /> PhOnO � _ <br /> DESCRIPTION: SewerDistrict -�� - � .� <br /> Lot �% Block � <br /> Pl:it -' ' __ Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Trunk �./ `' ,�/O .o� <br /> -i-ype Permit: � ;-. - . . . � . J <br /> Lateral _. 7%� � _ <br /> f:�.��narks: <br /> - Abutting Lot Line <br /> N, S, E, W - r- tt. <br /> APProved By - � � <br /> Ciry Engineer <br /> i <br /> Issued By - / <br /> Inspection B /' ��� - ��� � <br /> _ _____ ___ Datelnspected�( � ���� <br /> n <br /> SEESKE7CH ATTACHED N0. <br /> i <br />