Laserfiche WebLink
CHART N0. � �� " � <br /> Pverett ,� -hS`�� ; <br /> R / ' � _�� � <br /> � I <br /> � ^ I <br /> City of Everett �� ; <br /> Engineering & Community Services � � <br /> $�wer Application and Permit , <br /> I <br /> , ,� /'� i � � <br /> NO. �� C� �7 �7 � DATE = '� ' <br /> / , .. � J` l� ' J��'b(J � <br /> � y/- % ,.';:��. .��• �� Utiiity Account No. J <br /> Service Address_ '���� � <br /> �,� <br /> �� <br /> � / i� �i z __ Permit Fee � � i <br /> Billing Address _ � <br /> - _ � ` �f � � <br /> -,, ,-�;ri, %/ G�onnection Charyels) <br /> City, State, Zip J,�� 4ii � <br /> �� �j1 / • f ' � ' Total Fee { <br /> Owner (Mortgagor)�-- I <br /> Billing Name "�`-`""L""��� <br /> 1 <br /> Connection BY - "��' . ��� �/�J�� ) ll�fG !� <br /> Signed <br /> Vr � .. <br /> AddfC55 Cus omer ✓ <br /> %/°�/� /�. u <br /> Phone ���`l_ i <br /> Sewer District >� �� � <br /> DESCRIPT�ON: � <br /> I _ Block `^" y� � <br /> Lot Monthly Sewer Service � <br /> �-�-- �_-�- �:- G <br /> Plat Monthly Sewer Const�. ' <br /> Unplatted Description '�'� � <br /> - � - t7 ' <br /> Trunk ^ ' <br /> ' ai+— � <br /> Type Permit: jf,t. l=.-''� ,�' ': <br /> Lateral �' �� <br /> i <br /> 1 <br /> Remarks: Abutting Lot Line ft. ' <br /> N, S, E, W <br /> � <br /> � � <br /> , i <br /> �� <br /> — Qpp�Ov¢d Bv� � .Ci v En9ineer , � <br /> — � � <br /> _� <br /> Issued By � � -- � <br /> � � <br /> Inspection By� <br /> Date lnspected —��- � — <br /> `.; N O. <br /> SEE SKETCH ATTACHED I i, � <br /> ,r;---�.<,-, � ,"� , af .. -_ .s ; <br /> � , '��, �ir, . .. . . . <br /> .� . ..,1 � . .. .�.�wS.w. .._- <br /> .r'.r.. isl�.—'�:•`-': <br /> � <br />