Laserfiche WebLink
� -✓ CHART N0. w�l��'� <br /> everett �o�, Tu U !. yg <br /> e �_ <br /> City of Everett , <br /> Engineering & Community Services <br /> Sewer Application and Permit � ' . <br /> 1 <br /> N0. � r� !� .i_ � � � � � DATE ��- �� - 7� . <br /> �'`�— <br /> Service Address -� �U�'�?`R Utility Account No. _ <br /> Billing Address �n�'/�- Permit Fee �� ��N�'•- <br /> City, State, Zip �Y�"4�ii W� , `�->L� ConnectionChargelsl- <br /> Owner (Mortgagor) / _ Total Fee � Y OAI (L <br /> ! Billing Name <br /> Connection By <br /> Address Signed �-- � % C=_�-��">>!`�� <br /> Cusromer <br /> Phone <br /> DESCRIPTION: Sewer District __ _ <br /> Lot � Z-'� �� Block 47� _ <br /> Plat j"'VG'�Lr-� � v � Monthly Sewcr Service_ <br /> Unplatted Description__ Monthly Sewer Co�str. <br /> Trunk <br /> Type Permit: 'i'C''�� ,:.ra � i4: <br /> Lateral <br /> � Remarks: �,��.�.. � � ;,� �� <br /> Abutting Lat Line <br /> ,AX�e�'t/ N, S, E, W ft. <br /> _�./�.� , � i�r✓ w�-o .�-�-•-�— � <br /> s� — � <br /> i '-�C. � Approved By - t,...�y ;. l � ��j t � ; s� (� <br /> �'' Ci y Engineer <br /> I �o l`.(e v/✓-a-vL ,` , <br /> � `l�I�(/-P/'_�_ Issued By •��,-� ''�"-"��Lr:�-� <br /> I -r,a ��x-�xt' - � ,.> <br /> � �— <br /> � InsPection By �� � ✓�+ t-�.•- / <br /> ia Date I nspected � � - � � - 7 � <br /> I SEESKETCH ATTACHED N0. <br /> j GJSi':..C:i i�. i. <br /> E , , _ _ . _ . . . . . <br />