Laserfiche WebLink
1 <br /> CHART NO.�g2�'�� � <br /> everett � i <br /> �-�' Si�J ; <br /> e _ � <br /> City of Everett • � �� � / � ' <br /> Engineering & Community Services <br /> Sewer Application and Permit <br /> NO. f �� � li �i DATE �� .�,/"lr" ! l <br /> , 7 <br /> Service Address ���f � �'-' ^ �'-�� �L_: '-' ���`1'=Utility Account No. ��-'��¢ <br /> /� �U <br /> Billing Address r � �'` �-'�r �� Permit Fee ��� <br /> City,State, Zip �-��`�L���T l L'�� �� I�� Connection Charae(sl G-�C • f���a �� ?� Jr; <br /> Owner (Mortgagor)�� ��G��� ��• � �'`�"� �E-- L Total Fee "�C�� � � <br /> Billing Name ��� �G �1 �� • �f<t�l-}%�- �- / <br /> � ' i / i <br /> � , � :' � , <br /> Connection By � -� C'��i�'��/�% ' � r-`v <br /> 1 ��� �� <br /> 'J i � <br /> Address �"• �' • ��� '� �L�C� � Signed ' � � ,% J � <br /> Customer � ' <br /> Phone � L,�)Zt-7�" i. �'.\ �� ZG� ,� <br /> DESCRIPTION: SewerDistrict ��� ��'`� '� <br /> Lot / ! E' ,� , �-Z� <br /> Plat Vf.� c�[J-t�-.� B�ockr �L� Monthly Sewer Service � <br /> Unplatted Description �qonthly Sewer Constr. � <br /> Trunk � � �-' <br /> Type Permit: /l�L_� [� �.f �/�iE�G7i�'.tJ <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. ' <br /> Approved By � ' �����''J �I <br /> a�v e�a����. <br /> Issued By � ' _- '�"G'�'��`°�"� <br /> Inspection B � ✓'�l ; <br /> Datelnspected <br /> //� �� � <br /> e <br /> SEE SKETCH ATTACHED N0. _ _ � <br /> INSPGCTII)f; � <br /> i... <br />