Laserfiche WebLink
_ ....�,... m..� -- <br /> CHART N0�"T�'_ �� � <br /> aNerett /�O , �Lr �� � <br /> � � 3 _ ? � ! <br /> / � <br /> City of Everett A� �� i <br /> Engineering & Community S2rvices �S ' � <br /> .Severer Applicati�n and Permit , <br /> � <br /> NO. �' � !;. jE� DATE �/l/ I�7c! � <br /> : + <br /> Sen•ice Address c-1= � �.'� �= ��'- �.� ���c'�-- � � Utility Account Na. '= ` Z-�'- �- � � � ' �' I <br /> � <br /> i <br /> Billing Address�'' -'-� � ��-`=������ Permit Fee ��� �'`' I <br /> � (_-�-C>7?" [ (jr> >1'- 7,C -":. Connection Char e(s? 2� � �"r' ��k' -7,�t 7f=� I. <br /> City, State, Zip 9 j <br /> a � � <br /> Owner (Mortgagor��= -�-�=`=- �-'� ` %t-�" �/K �.v' Total Fee �-'U I <br /> Billing Name � .C. � ` t '==:_..t.7'1"r;�,i(�f�L..�� � <br /> Connection Byt���tr�E-�t' �� f��-k:rJ <br /> ; � <br /> Address �'� �- �-�� �� '�--Q- Signed � <br /> Customer� � <br /> Phone ��,.--'"'- ?.�7 C::_ I� <br /> DESCRIPTION: Sewer District l� ' 4l t=�"-� -� i <br /> � <br /> Lot Li-' 81ock — ' �� U <br /> , � Monthly Sewer Service_ z ' i <br /> Plat�--T�-'!\f�li� 5 >i\ � � � v�u<--� ' <br /> Unplatted Description Monthly Sewer Constr. i <br /> / i� , <br /> — Trunk � � � i <br /> TypePermit: f`� LiL. �-:��tiaL< - c�ti./ — � <br /> Lateral --- <br /> Remarks: , <br /> — Abutting Lot Line <br /> N, S, E, W ft. j <br /> � i <br /> — � <br /> - I <br /> — APProved By �._ �l�-.!_'rU�2iC� � <br /> Ciry Engineer <br /> Issued By G �; � GC f�/�.c1nJ � <br /> � j <br /> c <br /> Inspection By i <br /> __ Date Inspected---�`,G--r.--�—,�-- � <br /> � I <br /> SEE SKETCFI ATTACHED U�• I <br /> i <br /> , <br /> ! <br /> ( <br /> i <br /> rr <br />