Laserfiche WebLink
,.�� <br /> , <br /> everett CHART N0. "� �-- - - �� `�' � <br /> i <br /> e ,�" s--���/� _ ' <br /> ; <br /> r� _ ��_f, � � <br /> City of Everett ' <br /> Engineering & Community Services � <br /> Sewer Application ar�d Perr�it �G�� i <br /> � <br /> , <br /> ; <br /> � <br /> N0. � -: :1 DATE �'. i.. ;-'� � <br /> I <br /> Service Address��i� � f) /j �.. i; <br /> I <br /> � �J �� �y Utility Account No.� ' �F'- � �/'/� � � I <br /> Billing Address_>C.- <- .� %% �' Permit Fee_ 7U � � <br /> �' i <br /> CitY. State, 7_ip � ';�� '�q- - '='� ' <br /> ^ Connection Charge(s) ��rY=� + <br /> ; � � I <br /> Owner (f✓lortgagor) � >J — Total Fee � �� <br /> ' � <br /> Billing Name _ - ,.,L� ( <br /> �_ <br /> Coi�nection By - �_ j <br /> — ' v <br /> Address �� '��:� `�: �9 '` <br /> Signed.�/-�: //�;/'1-���r.-�i/7 � <br /> PIlOf12. � �t�— �SQ � Customer " � <br /> 1 <br /> � <br /> DESCRIPTION: - . .-� /� I <br /> Lot � '- '�� � 3� Sewer District � �^ 'P; . j j <br /> i: <br /> Block --- <br /> Plat -=-, _./ 7�' MonthlySewerService ° � � � � � <br /> Unplatted Description Monthly Sewer Constr. + <br /> i <br /> f1 <br /> Type Permit: �'.•,'., , — ' _ � - Trunk_�. � -� � I <br /> _ /, _ _.;� > -:'u_no <br /> ) <br /> Lateral ,�%• j � ,� G ;, �U ' <br /> - i <br /> emarks: � <br /> Aburting Lot Line i I <br /> � <br /> N, S, E,(W? � `� ft. <br /> i <br /> � <br /> I <br /> i <br /> _ - — APProved By :��-. i <br /> � <br /> Ciry Engineer ! � <br /> . �. -'-'' t/ � <br /> Issued By r; � .�-„_ , ,_. , <br /> � <br /> Inspection B C � <br /> � — iDatelnspected�� p�,�'�� i <br /> SEE SKETCH ATTA�HEp I <br /> N0. <br /> IfVSPECTIOFd ` j <br /> ' - -- '- - _i.ra�- c; -`:��*"-�' 3,;o._;? �+ <br /> -��a_� <br /> �--' <br />