Laserfiche WebLink
I CHART NO.����z�— � <br /> ! everett />.�� - G '`�`� � <br /> ; e - <br /> � . <br /> I City of Everett <br /> Engineering & L'ommunity Services <br /> � Sewer Application and Permit <br /> � <br /> � -- i- 7J <br /> N0. � _� �� � iy� F DATE T <br /> 1 3 � <br /> Service Address "�—"`� � � Utility Account No.._ <br /> 1 " �_ — - Permit Fee '%/'� <br /> Billing Address � � ^ f <br /> --" ;�;:-� jI '. G ,i Connection Charge�s) <br /> � City, State, Zip - ' � . <br /> J �' c� Total Fee ?���� <br /> Owner (Mortga9or) / '`' � <br /> Billing Name ' `r <br /> / _ • /`. <br /> Connection By <br /> ��/ Signed Cuswmer <br /> Address <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Block Monthly Sewer Service <br /> Plai <br /> Unplatted Description�*� ��� � ��' S� �I�� '� Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ��c.' -,�• _ <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> f Cl4'� E� W--- ft. <br /> „� e e.t 'LLeIY iCCe rL L'/ll.•er-,+t. N, S, <br /> � ;([ � lt . �i�.CGLl1- wt.J�LCC �/�-.. <br /> � � ��v <br /> ��.[� � .��'�t� . . , <br /> / ApProved By` ` •�. <br /> City Engineer <br /> Issued By ---�— � <br /> 4 -- Inspection By � 1 '""' — <br /> � Date I nspected � '/U — 7 7 <br /> I n -- <br /> SEE SKETCH ATTACHED N0. <br /> U�d S I�:-t:i R�" <br /> I <br /> i <br />