Laserfiche WebLink
2�0�_ ,. _ _ � ' CHART �0.. n .�.5 -��— <br /> everett �> _ - <br /> i �. ._ ,; <br /> � � �� <br /> City of Everett <br /> Engineering & Community Services <br /> Sewer A�plicatian �and Permit <br /> NO. �� % `_" .�� �V DATE _ <br /> � <br /> Utility : ��ount Na --' <br /> Sen�ice Address - <br /> Permit Fee_ <br /> Billing Address --- - <br /> Connection Chargels) <br /> City, State, 2ip — <br /> Owner �Mortgagor) Total Fee ---- <br /> Billing Name — <br /> . <br /> Connection BY -- --- ;'`� ` / './ : ' � //r <br /> ' � '� � ��'� ''�����- ` �=t--� <br /> Signed � / !/%�`9� L�,/� - <br /> Address �" cusrome� <br /> Phone - j j . - _ _ _._. <br /> � i-��_ <br /> DESCR!PTION: <br /> Sewer District — <br /> Lot ' Block Monthly Sewer Service ' <br /> Plat \ <br /> Unplatted Descriptfon Monthly Sewer Constr. <br /> Trunk � ' � � <br /> Type Permit: Latersi <br /> Remarks: Abutting Loc Line <br /> N S E W ft. <br /> � � <br /> o�� � 1' ����a �cD �J � ,��<<�.��� c�T --� <br /> , <br /> i�VS 4 �= i io��1 Approved By -- <br /> � j ar' -?� . Ciry [ngineer <br /> Issued By — '� <br /> ��—�l� �� , �—,--- — <br /> //_�/�;:i��_Y V�—��--`-(��\, <br /> _-------- ---- -iC' t�-� Inspection By -- <br /> � f.� ' / r <br /> Datelnspected__ — <br /> 3 N0. <br /> SEE SKETCH ATTACH�:D <br /> , . <br /> £4� Fk';•�..� <br /> ,�._u„ ��.. `� .'""�.., �i� , h. ',�" � � . <br /> i <br />