Laserfiche WebLink
�.�.�., � - <br /> .�a'-��. s"s7' I <br /> Ciry of Fverett � <br /> Engineering Oepartment , I <br /> .�D,Pi'a��'�:i r`��`�::�iiCC��'lOi1 C9➢it� �"'��i�'1'11� I <br /> f�0. 2O�i .�i1 . DATE. _��J I <br /> Service Address���.2 �'�%� /b-�� �o�//� Utility Account No. -" - ------ <br /> --�r�, <br /> BillingAddmss ���� �` <br /> Connection Permit Fee 7 �'�''3 <br /> City, State, Zip �/ �;�� Connection Fee -- " --- - <br /> / r � �'• ' _��' �l <br /> Cn�ner �P�9ort agnri L /i�-� : ,��!_�"' ---- � <br /> `� �� Totai F��____ ' <br /> 8iiling Name__����'_.. <br /> , <br /> �onnr�liufl oy �J��y�,�, �'�/f i ��/ .. <br /> L�� �.Y� <br /> / r.J <br /> 1/� ���� •/ � <br /> Address�y_��`'-7�,.�`����/ r,�,: Signed <br /> �� � �%�J) C�S�Oner <br /> Phooe G � � <br /> DESCRIPTION� � Se�verDistrict ` - - <br /> Lot �/!�. - <br /> BlockV''r?� Monthlv5ewerService__.__ - ' <br /> —�""—' �i � ,.- _ _- --- <br /> Oi�i;ion or Addition t�!��i �%'s%� � l " Monthi <br /> yi `-� ti�Se�ver C'onstr. <br /> — ---- <br /> Type Permit: ����f!�� Trunk_ -.__ _ <br /> -.-_. _ Lateral <br /> Remarks: <br /> � �butting Lot Line <br /> N, S, E, 1N -- - ft. <br /> �Ci-.,,� / �/ <br /> _ _____�' �—_ APP'G'dCCJ By�//C�//����P i� <br /> "—' � ._-_ G:y Enqineer <br /> ....__.___—_--"'__'� _— _ �/ . <br /> ISSUEd Qy___ � <br /> ' _—_'_ '.__—.- 1 <br /> �^_�---- . �Inspection By <br /> � Dat�lnspected <br /> SEE SKETCH ATTACHED No. 20891 <br /> TRc"tt$URe.R <br />