Laserfiche WebLink
everett CHART NO.�"� ``�U"Zk ` j <br /> e' ���-�L-� � <br /> . , <br /> z- Z_�� y <br /> , ; <br /> City of Everett `��� <br /> Engineering & Community Services � <br /> � <br /> _ Sewer Application and Permit � � <br /> + m <br /> N0. � � � 1O DATE I I G-�- 1�7 �� <br /> Service Address � �Z� f` �'� �TU� . Utility Account No. <br /> �--�U� �� u <br /> BillingAddress J �GNIt�A�iJ PermitFee �� ' � i <br /> City, State, Zip �VE-�-�_� �Vi� �/c_>�>( Connection Charge(s) ' <br /> Owner (Mortgagor) ���(Z-� CJ� �-<�r��C� SE.".0 Total Fee `.:�� C_.�L, : <br /> i <br /> Billing Name ����v ��-iJti��.vU :�,t_j <br /> _ ' � <br /> Connection By�--�-���E=�' ��r�c,tf_lC - �� :, ' l , 1 <br /> -� `_ J� r7 �/ , � <br /> Address -�-f��L o�,..�� -r t i Signecf!" .��,�•Y���-y_-fl'��,*".�'zC/� <br /> �_ G , _ Custom r / <br /> Phone � ,.�? _ � �, _., 'i i <br /> ,.�, l <br /> DESCRIPTION: Sewer District �`' U�n'!-� �'"� <br /> Lot � = •- 1 �'` Block d' � � <br /> Plat�/� + +--'I-'l_.�c_ — .� �4`� Monthly SewerService�=- ' � "� <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: '� , �, � Trunk <br /> f`- �. C. N 7..1 t.C' � Cis <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> i <br /> Approved By `-. ' /}�:.X�t rV �( . <br /> Ciry Engineer ; <br /> Issued By � ' ���/.� !cf-7) � ! <br /> � <br /> � <br /> I <br /> Inspectian By ��/� ' , <br /> � <br /> Date Inspected���,� � <br /> SEE SKETCH ATTACHED Np, i <br /> INSPECTION I <br /> _.,, _ _, "� � <br />