Laserfiche WebLink
� � � � � �� _ i <br /> CHART N0.'= � • ' � � I <br /> � ^� . <br /> everett . �7� � ! � � <br /> • � • , <br /> � ,Z — Z— 7 � - ; <br /> /30'`�, � <br /> City of Everett <br /> Engineering & Community Services ' <br /> + ; <br /> Sewer Application and Permit ; <br /> , <br /> � <br /> _ J ��r_ �,� ; <br /> N0. ��.' � :''� rj J. DATE� � I <br /> � <br /> , <br /> ' � •/ �j �'; - �J - l � Utility Account No. — <br /> Service Address_ „� <br /> y'�rG / �(, /!, f. ,.:✓. Permit Fee ' �) � <br /> Billing Address ; <br /> J � - _ _�,--�"" <br /> City,State, Zip , '7 ��� - � � ; '�J Connection Chargels) � <br /> ,/ %.y/ � �' -1`otal Fee � �} � l <br /> Owncr (Mortgagor)� -' <br /> � , i <br /> . � _: � � � I <br /> Billing Name ' <br /> i <br /> �� ` .. / '� i/ =� � � <br /> ,,;`� � �% . <br /> Connection By_ / =_ � i <br /> � <br /> .�'"'�/� .t/ �� ��� ;r ., J ' <br /> Signe�i , <br /> Address - c�:co ier <br /> Phone '- ��7 y <br /> � <br /> DESCRIPTION: Sewer District I <br /> Lot � � Block y�"� ' <br /> Monthly Sewer Service <br /> Plat � <br /> Unplatted Description Monthly Sewer Constr. , <br /> � <br /> Trunk � <br /> �-> '"t <br /> Type Pe:mit: / _. �' - '�' "' Lateral <br /> Remarks: Abutting Lot Line � <br /> N S E W f��' �/� it � <br /> _ <br /> i <br /> i <br /> I <br /> i <br /> Approved By'_�_ - �. j <br /> Ciry Engineer � / � <br /> ` � <br /> Issued By � ' ' ' ! �' <br /> i <br /> I <br /> Inspection By ""-� � <br /> Date Inspected / ' <br /> 3 I� <br /> SEE SKETCH ATTACHED NO. I <br /> �� �� ,� Ir`' �� <br /> i <br />