Laserfiche WebLink
P <br /> � CHART NO. x_ 3 �-a9 <br /> exgren <br /> , <br /> e � . �_�_�9 ��� <br /> City of Everett �`�C' � � <br /> Sewer Appl�cction and Permit <br /> N0. Q306$ DATE ��0?7,�7� -, <br /> Service Address_ :�// � Z�_�,..,g T.� - Utility Account No. ��U Ap <br /> p 2 % <br /> Billing Address //(L/ f �?T� �r'. -Q•�� Permit Fee l� <br /> o� <br /> City, State, Zip. �y��.� �'/ci . ��o?D 3 Conner.tion Charge(s) � �� <br /> oy <br /> Owner (Mortgagor) q-�• ���nr��- Total Fee 3n <br /> Billing Name � �' �!<.:.y,- ��� /°r..� ' <br /> Connection By ���.�.-z� <br /> Address Signed <br /> Custumer <br /> Phone 337 —O �„2C) <br /> DESCRIPTION: Sewer District ln �_L-r� � <br /> l.ot.f���,y .� Block <br /> Plat �i�✓ �,Li�_,�s ���„2 Monthly Sewer Service <br /> Unplatted Description _ Monthly Sewer Constr. <br /> �,d1 <br /> �. Trunk �. / s� ,?/A <br /> Type Permit: , � <br /> Lateral <br /> Remarks: <br /> - Abutting Lot Line <br /> N, S, E, W ft. � <br /> �� <br /> i� � <br /> ✓� <br /> /� /' Approved By�?' • / <br /> C.�K �O L�U '.� ��GK Ciry ngineer <br /> _— � , / ' , <br /> Issued By �� �i-l' _ � <br /> — - � <br /> :; <br /> Inspection By •��'*Q� w `� <br /> Date I nspected � � �+ ?� <br /> SEE SKETCH ATTACHED No. 23068 <br /> INSPECTION <br />