Laserfiche WebLink
CHART N0.1� JJ^ - ~ /- � <br /> everett �D j%�r � <br /> , <br /> /Z _zc -� 8' . <br /> City of Everett �� ��� <br /> Engineering & Community Services <br /> Sewer Application and Permit , <br /> rvo. 22 � � 2 DATE "" ^- �" ��� <br /> Service Address �� `� � � >� � � '��'"E • '�L' Utility Account No. 5' — >'G - -;'ri'%- JD <br /> � C� <br /> Billing Address � U"` - ��=�--� �`�"�`' �"" - Permit Fee '�� � : <br /> � / i <br /> ,; �; , n <br /> City, State, Zipt �-- � '!� � • ��� = '%� Connection Chargels) <br /> Owner (Mortgagor� ' �" - �-�' Total Fee :� �� � <br /> Billing Name - - '--� <br /> Connection By - �-1 <br /> . ;r -.'' <br /> Address_ Signed / � �� / � � �.•.<-«c-{ <br /> Customer <br /> Phone '� '�" "� L._ � � _' <br /> � <br /> DESC4'PTION: Sewer District -•' d - � <br /> Loi� Block Monthly Sewer Service �U <br /> , <br /> Plat .�-=t s 'sr� � �.�5 z> <br /> Unplatted Description Monthly Sewer Constr. <br /> o /' Trunk_ � �� <br /> Type Permit: C . <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> �2—,�•.. � N, S. E, W ft. <br /> .--�'""""_--..- <br /> .__... - . -i , <br /> — Approved By '-' � �" <br /> City Engincer <br /> %� <br /> — Issued By ''' '- -- -� <br /> — Jy�� .�/�� <br /> inspection By <br /> Date I nspected �/ �J �� <br /> 0 <br /> NO. ' .' f' � '. <br /> SEE SKETCH ATTACHED � = " - - <br /> INSPECTION <br />