Laserfiche WebLink
a <br />everett � - <br />1 � <br />� City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />N0. ,�,-.,,�.; i) �,�� <br />_ ._ _ �._ DATE , <br />CHART N0. � � <br />� <br />/ � S .�`s� � <br />/� i <br />,f/ i /� r� � ' I <br />i <br />.�'•� ��C. � <br />: � <br />�� Service Address — =G'� ��� f��v %z. �. /-!i. . ., <br />Utility Account No. J- , F- � o.:: _ �, / <br />i '� ''. i:�-1' _ /%"r' [ ii�i<c�:v/ /i',�,:� � p_/ <br />� <br />Billing Address � Permit Fee } U <br />. <br />P `- � � � <br />CitY, State, Zi � i��i �' ��?�''� n� l <br />7 / : i _,<. � i ,_ ,' �._, r'nN; , - . G D <br />Owner (Mortgagor}�:.;i_• a �� �- •. �i-, � <br />Billing Mame .. � b� ; r_-.,i, <�'r �:. : c: .c?, <br />Connection By r a� �' / t=":+' c� V�.�-v�cu � s <br />u� <br />Connection Charge(s) ���D , <br />„� i <br />Total Fee � D <br />Address �� /'�-�O Na :y�.�yr-.� 9% y_�/ i,, �S. Signed .. <br />PhOf1C— � 7�' — �'-H % Customer <br />` DESCRIPTION: Sewer District =� h' ,,.-. � � <br />Lot ---' Block � <br />� Plat ���'vG� /�,a,�,� MonthlySewerService ry� • SO <br />Unplatted Description _ Monthly Sewer Constr. <br />T..__ n_.. . <br />SEE SKETCH ATTACHED <br />!i�l.�, �-� � j I[,r. <br />Tru <br />Lateral <br />Abutting Lot Line <br />N, S, E, W, <br />�/ <br />Approved By��� ��., , _ . <br />Cify Engineer <br />_'t' �—�7 1% <br />Issued By � - -'�.-..-- f <br />i <br />nspection By ����,,, <br />)ate Inspected_ �/!��� <br />� <br />N0. � <br />� <br />