Laserfiche WebLink
G <br />evereri <br />� <br />City of Everett <br />Engineering & Community Services <br />Sev�er Application and Permit <br />�� . �_ ., DATE .'.'� �: ' .�il <br />rvo. ,:_�_ �i i �� <br />iService Address_ '_��f ' � '—' ' � "` <br />i <br />I Billing Address ���• ���` '� ��� <br />� , / <br />' / _, - <br />� <br />CitY, State, Zip _ ��— %��� '%'' , U` <br />` � � r �/ � r <br />� Owner (Mortgagor) ' <br />i i� <br />� Billing Name � �--' <br />i � <br />� <br />� Connection By - ` " � • <br />� ) � �� ��/ �% . <br />Address ' .�i . /�--� � -," -- � ..: . "� <br />f <br />� oti.,.,� . _ /� ,1 � .' �/ % <br />� DESCRIPTION: <br />! Lot � � Block �' <br />I Plat � {f • ' �; <br />�. <br />Unplatted Description <br />CHART N0. %-'' ' <br />� �r <br />�r, � � d- O <br />/" - � <br />Utility Account N <br />Permit <br />''.���- 1-GU <br />�. ' — <br />�/ <br />o :� � <br />Connection Charge(s) y�� _ <br />. �,` <br />�� <br />Total Fee � —_ <br />SEE SKETCH ATTACHED <br />Monthly Sewer Service = `� — <br />Montl�ly Sewer Constr. <br />fj . _. O <br />,.'� . /D <br />Abutting Lo: Line <br />N, S, E, W, <br />Approved By <br />c��v <br />Issued By <br />��r <br />In;pection By ��'�'""'"�'YUL"-� <br />Date Inspected Q���/7� <br />� N0. <br />,i �.,i . I � <br />.t � <br />; ,a�.. - .. .'� " <br />�.dP1,'�_. , .- , ... . -- . '�s: . _„_ _,.yu <br />