Laserfiche WebLink
0 <br />everett <br />e <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />rvo. ,, � ,, , <br />_ ,� _ <br />Service Address �� � � � <br />DATE � - � <br />. :_ ./ ,_x <br />Dilling Address ��" " % �� '! ' � 1� <br />CItY, $tdtC, Zlp � /.'�,. � � ' ---'! (/ <br />Owner ('Nortgagor) ,'i_ . _ �/�--*�' <br />Billing Name / % • - � <br />Cunnection Bv— � �- - �.-� <br />Address <br />Phone `' ^ � %'�" �� <br />DESCRIPTION: <br />Lot �� % Block � <br />Plat �z-t-El i[� '�- � <br />Unplatted Description <br />, ,,: <br />CHART NO.'L-� �-` ' � �- y <br />��o �'� C.' � <br />z-z-� r �� <br />� �� <br />Utility Account No._ %_`�� -���= - ci U <br />i� <br />Permit Fee ! � <br />U'� _ <br />Connection Charge(s) s � D <br />) Or <br />Total Fee__ <br />Signed .1/.i'<- ��ClJQ_.�� <br />,r Customer <br />SEE SKETCH ATTACHED <br />r:Tlc' <br />i <br />Sewer District �l � 1 <br />Monthly Sewer Service ^^ � � U <br />Monthly Sewer Consir. <br />� <br />Trunk �• � � .= /U <br />„ o <br />La[eral .^ - = J °1r' � <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved BY-- - � <br />G�y Engmeer � <br />�SSIICl1 BY 'l' �r _ / <br />t-__ <br />� <br />Inspectian [3 � (-p��� <br />_ --, ., --+ L% <br />Jate Inspected `� /- �-/.� <br />�, <br />N0. <br />I <br />