Laserfiche WebLink
M everett cHAF'r rvo.��- � • - r <br /> e ,;.J , ,; � � <br /> , �, <br /> : <br /> : <br /> , . <br /> City of Everett � <br /> Engineering & Community Services ' <br /> Sewer Application and Permit <br /> N0. 6 i_ 7 f't � DATE �/�/77 <br /> Service Address�%2�Z �.��.1�f�� r� Utility Account No. <br /> Billing Address J�J/�`/� Permit Fee /�! L:�,1�� ' <br /> City, State, Zip �i/��7T c�rl ZO� Connection Charge(s) <br /> Owner (Mortgagor) � -f'/� /'"�!J /, ,/JC'L,e� �..�L+/._.)� <br /> y l � Total Fee <br /> BillingName ��) M/� <br /> Connection By �� T'�-t - �t;_12�;�-p- <br /> Address Signed ��-���- �j(Z.�SS./a�4� <br /> Customer <br /> Phone i <br /> D�ESCZR.I^P�10� �Z SewerDistrict <br /> � Block = <br /> Plat �--✓�l E-7T � �-7 ' Monthly Sewer ServicP <br /> Unplatted Description � <br /> Monthly Sewer Constr. i <br /> Type Permit: I�{_ �]����� Trunk i <br /> Lateral <br /> Remarks: — <br /> _ � Abutting Lot Line <br /> i <br /> . . N, S, E. W _ft. I <br /> Yl, �,-�-c, 1'� i <br /> -- — Approved By �. �.��'�..jc�� ��!�� � <br /> City Engineer <br /> + IssuedBy l_ ��.\ LLi.) /i �� .� <br /> I <br /> Inspection By�� 5�,�,.. <br /> i <br /> a Date Inspected � <br /> SEE SKETCH ATTACHED � y 7 ' ^ � <br /> N0. ' , � <br /> i�.�,cF; ;. 1li Fi <br /> r_ . � <br />