Laserfiche WebLink
everett} <br />e <br />City of Everett <br />Engineering & Ccmmunity Services <br />Sewer Appli�:ation and Permit <br />N0. �_t. 1`� I DATE f/",/� � <br />CHART NO..�—`�Z.�� <br />` � <br />1'% s'%Cr� <br />, _ L s- _ 7 b� <br />Service Address �� J � � �V h� ,'� V �. l }/ Utility Account No. � y %'� � � � � ' ' <br />� <br />�� <br />BillingAddress �%��'V��� S �C J��i7 Permit Fee 3U y - `J." <br />. �j .rb <br />L.,; ; �;i;✓��.�IS ie�stSH. `/����Connection Ciar e( 1 ��U r �'/�-��Ni. <br />City, State, Zip /a � � 9 <br />Q:�, �V r� <br />Owner (Mortgagor�f'Y���_��/1 /rF�:'r ,?r1t C1ILAin/�PTaTFee <br />j�� . <br />Billing Name / ��� `�"f i%� � i H✓.�1..: S C'otii� <br />---� <br />� �, ' � � J at If �.+h� :> - , ' ` <br />Connection By� �= % ��' I � . -� � <br />Address /�S D;���r�S ��✓A�i- �Ati�. S�ir✓S.vSigned. '�.:P" � /�, ,' �' �^--C---_.___ - <br />„�` � <br />� r�. ` y� 1 � -7 Customer <br />Phone_ls 3` V/ 6 3 _ �' <br />DESCRIP�'ION: � 5ewerDistrict ' �7'''"P � <br />Lot �� _ Block_S - s- <br />Plat ��'�������'� Vii",n<<�.v�> O�•� t'� NionthlySewerService < <br />--� <br />Unplatted Descriptinn Monthly Sewer Constr. <br />Type Pcrmit: <br />SEE SKETCH ATTACHED <br />L ��'j � �{/��-�+�1. <br />'f�� {. q � � �C � 1� �• N �7" �. �daYf . <br />Trunk �� � � <br />� <br />Lateral Z'• Z- � <br />Abutting Lot Line <br />N, S, E, W, <br />Approved By �� .��/'.a:.,, �r� � _ <br />City Engfneer O <br />i • r, <br />-+� r"�; J <br />Issued By ;�� /�':.��•�K.'� <br />Inspection By��� <br />Date Inspected �'� �'�/17 <br />N0. ' <br />�T� �r T���'�y,'�x-Rr', i <br />� ,a�.}���� �.3� <br />��,e",� Ne.ic=1(7L�, .a,! •.. � �" � . ... <br />