Laserfiche WebLink
/1�0 ..:,og..- /-�0-7��(, <br />everett �� 1 � �-�- ' ? <br />� <br />City �f Everett <br />Engineering & Community Services <br />S�wer Applicafiion and Pe�rmit <br />/ <br />NO. ;�' �' (,I 4=. � DATE _ '� �� <br />Service Address � ;7�L % %'' � `" � %/•��- <br />� _ � . _ .. ,r---•-- <br />� <br />CitY, State, Zip_�„ —% %;c �"�T�=_�r � <br />Owner (Mortgagor) �` ,' _ '_T -�� _ <br />Billing Name <br />Con�ection By_F,_. � __ �'r:.,% � <br />Address_�;•� : .;r ' ± �.— '�`" <br />Phone � : : l. � r.� <br />CHART NO.�� ���� � <br />�����r S� <br />�o S �•-�`r /�' <br />,eC- /y — 7 g <br />/2 � • <br />� e/ <br />Utility Account No. <br />Permit Fee�a'D ��' <br />Connection Chargels) <br />�---" <br />Total Fee �-� � __ <br />%.. <br />, � ; . , <br />Signed " � -1-- ',�ti;- <br />• r' `,r' CustomP��- <br />DESCRIPTION: Sewer District <br />Lot�/'%_��_ Bbck ;j� =� <br />Monthly Sewer Service <br />Plat _�: .. -t . T� -.�/_____ � <br />Unplatted De,:ription Monthly Sewer Constr. <br />T <br />Lateral <br />Abutt;ng Lot Line <br />M, �, E, W <br />Approved By- : '� <br />City Engineer <br />Issued By ♦ vT� _� <br />Inspe�tion By.�)� ' `A"�"'�"' <br />Date I nspected���, 7�_ <br />N0. <br />��. ' m ���� � ���'_ .- <br />a�:. . . e. i �. <br />