Laserfiche WebLink
CHART PJO.h� - '`;" . -':a �/ <br /> everett —„`--"-�`-- <br /> � . . _ - �' : , � } <br /> r ,� r , <br /> City of Everett <br /> Engineering & Cemmunity Services <br /> Sev�rer A�plication and Permit ; <br /> NO. DATE : <br /> Service Address � U'.ility Account No. � ' ' � <br /> Billing Address Permit Fee "� <br /> City, State, Zip Connection Charge�s) _ <br /> Owner (Mortgagor) Total Fee <br /> Billing Name _ <br /> Connection By _ <br /> Address Signed_ "�i � i <br /> - ' Customer <br /> Phone % ' % <br /> DESCRIPTION: Sewer District �' <br /> Lot / / Block <br /> Plat Monthly Sewer Servir,e � <br /> Unplatted Description Monthly Sewer Constr. , <br /> Type Permit: : Trunk � � <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved Ey <br /> c��v e�,y�„�e� <br /> Issued By �� <br /> � �i• <br /> Inspection � /�����}-� � <br /> — �J� <br /> 3 Date Inspected_._,�—,� __ <br /> SEE SKETCH ATTACHED iJi:�. <br /> � :.�...fTJyli '�.i L Y . <br /> � Fif v a �G&.. r. �{{ 4�"v.U�4 i�''� V�^'��n-"'yFS' . .. . .. � -�.:. 1. . <br /> �yY.�k�1 � l'M > �3c� ��,C ` , a ytt�1 tXv., y .� i� ^ 't`5�°';i.� ly_rtki.._ <br /> ;! n.�i` Y ���I.i+:._e:.,�., r �"�. .^'�� ,r �..x.<<e.. . C' <br /> ��'�'i�iii��,�a�va. :��� <br />