Laserfiche WebLink
1 <br /> i � _ �." I <br /> CHART N0. /�> > � '� � <br /> everett <br /> � `��s � �� . <br /> City of Everett �—�/,� �� <br /> Engineering & Community Services � (-- <br /> Sewer Application and Permit <br /> N0. � ( � � J DATE �� �� � � <br /> . , <br /> . 1 <br /> Service Address � ' '��� Utility Account No, j <br /> � Permit Fee ��' '' <br /> Billing Address � <br /> City, State, Zip %� - Connection Charge�s) �""�`J <br /> . (Jr r � <br /> Owner (Mortgagor�� - Total Fee <br /> Billing Name <br /> Connection By %� <br /> . �-y �'��� �� �_.:�:-----^ <br /> Addre;s Signed .�il�' -� •���t�<</.�`-�'� <br /> Cus�om <br /> Phone � `� � � <br /> DESCRIPTION: Sewer District <br /> .� <br /> Lot �� Block_ " <br /> Plat / Monthly Sewer Service , <br /> � <br /> Unplatted Description Monthly Sewer Constr. <br /> � �s <br /> Trunk <br /> Type Permit: , � . <br /> r - - Lateral <br /> Remarks: Abutting Lot Line � <br /> N, S, E, W ft. <br /> Approved By• � '/ <br /> Cily EnB�neer <br /> � � / <br /> Issued By ,----'� L l � <br /> Inspection � <br /> Datelnspected � —/ '� �_ <br /> 0 <br /> SEE SKETCH ATTACHED N0. � . <br /> IPJSPECTIi� ' � <br /> r._ <br />