Laserfiche WebLink
i <br /> i everett CHART NO. Z— — ^ — <br /> e �-- � <br /> � ��o��, �-�=� ��: <br /> ; <br /> � <br /> � City of Everett � <br /> Engineering & Community Services <br /> i Sewer Application and Permit � <br /> � <br /> N0. .`= �_ ,j i� ( DATE � �� " �� <br /> Service Address �70 � //-�•-,' i<: <br /> Utility Account No. <br /> v <br /> BillingAddress --�t-.T-: <— PermitFee �D <br /> : <br /> City, State, Zip �� _ � ,'G��✓ %f� 0� Connection Charge(s) <br /> � <br /> Owner (Mortgayor) - � � o . � - Total Fee_ ��C) � ' <br /> / <br /> Billing Name --ti=�' , .-�,:_.� , <br /> -� / _ <br /> Connection By"'� '. .': ._.,.>:-,. i j�� , <br /> � Address -� %�S/ � �'f� -[" � ;.-8�d .� ,� _ � .� ; <br /> ,� '� ��:. <br /> Phone_ 5 ��/- ��r-' i� c�s�omc� ! <br /> DESCRIPTION: Sewer District <br /> Lot Block -- • <br /> Plat Montlily Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> Lateral <br /> Remarks: � ,, ' <br /> � ��J�.?,,. <br /> Abutting Lot Line <br /> — N� S� E� W— ft. <br /> ���,4+—..G! - ' ..��� <br /> l � -- <br /> ,:� <br /> Approved By_.i.� '/ ,-.. <br /> Qry Enginecr / -- <br /> — Issued By��" __ � <br /> I <br /> I Inspection By_.���y�,,,.J <br /> � p Datelnspected � ��'7 <br /> I <br /> � SEESKETCH ATTACHE N0. <br /> i � �i_�.ii ;-'ii�. ' i <br /> . � � <br />