Laserfiche WebLink
� ' I . . ._ ....�. <br /> � !==-,�`t-��r=-=_ <br /> CHART NO. '" <br /> � everetl <br /> � x-36-�q- <br /> , <br /> ! �o s ✓ �: .t.� <br /> ICity of Everett !.� G � � g <br /> � Engineering & Community Services /� <br /> i <br /> Sewer Application and Permit ' <br /> N0. ;% .' i I � d� DATE _�I � <br /> Service Address�— f � �-�7`���-�k'-'�� Utility Account No. -'� � � � ` �� ' < < <br /> BillingAddress�,�'� ��:Y. 1'�<'7 PermitFee �C'�Vi��'�"`��� ii-� i*IT'�'7' <br /> Cii State, zi ' ��'�=- TT r�r�� �C' � =,s,E:?--�-=U '��-�,��'>( r <br /> Y, p� l � Connection Charge(s) I r I I� 'l <br /> ' �•.,� <br /> 1 Owner (Mortgagor��__-�'Fiti)ir� �'�`L'.tilE.=�, �IJ<. Total Fee `-� � <br /> ` BillingName ���-F' �J� tiJ �C+ti.. i�' _ � ti��_ <br /> I <br /> ` Connection By�s l<�'�_=��-� �;�'+�-� L- -: <br /> Address �J•�--� a,�`/- /_ ] l; �7 � '� <br /> / ,f:r ./ <br /> �^ <br /> Signed�_..*f: ! � �.�'i�;�s.,�l____ <br /> . �' ustomer <br /> Phone ,' � '- L_i ` `�) G <br /> � DESCRIPTION: �� f I .](�,:�1.'�J <br /> Sewer District ` f <br /> � Lot � r Z � �- Block �-� <br /> j . �_,(_:� <br /> Plat - �-- " •<<_.,�,,��l_li� r4,,,� . Monthly Sewer Service <br /> Unplatted Description Monthly Sewer Constr. <br /> - Trunk � � � <br /> � TYPe Permit: :t-.` �--} ���U��� r rt' �_i l . <br /> iLateral �f - �� � = <br /> Remarks: <br /> � Abutting Lot Line <br /> N, S, E, W ft. <br /> I <br /> i <br /> i AnProved By l .�',�J�,t:�I <br /> I Ci�y Enpineer <br /> � Issued ey ` �.---i�t-L-l�/��3 J�-� <br /> I <br /> I <br /> � __ 1 nspection By__-1�������rc:-.---� <br /> � a Date Inspected � l �`��� <br /> j SEESKETCH ATTACHED Np, <br /> ! d'.,i'EC1 IOPJ <br /> .s . _ _ . . . <br />