Laserfiche WebLink
evere" <br />City of Everett <br />Engineering & Community Services <br />Sewer Application and Permit <br />NO 22417 DATE - /( <br />Service Address `'r� <br />I �/c-V Jr <br />Billing Address <br />City, State, Zip.& -'6 L ,6,2`T <br />�� ^20 . j <br />Owner (Mortga)' f Ni <br />�! "(16-/L L <br />—gor <br />Billing Nam�/e r/�il <br />Connection By 61-LP`e.� C <br />CHART N0._ C 9 'Z9-S� <br />Utility Account No.�- <br />Permit Fee — <br />Connection Charge(s) A v/ A, _ <br />Total Fee &�)6 (.'1 <br />Address Signed <br />-+ �L��CU�1 ��Aat��r Signed_ J' <br />Cuaormr <br />Phone- =� -� - f�Lo'% J <br />DESCRIPTION: Sewer District ✓U Pd`.Uo -� <br />Lot 4- Block <br />Plat �� �> %L��,t'QG1 Monthly Sewer Service � ' �� <br />Unplatted Description Monthly Sewer Constr. <br />Trunk <br />/�JJr 2 <br />Lateral G r 7 'S <br />Abutting Lot Line <br />N, S, E, W <br />Approved By C ' "'V'L)r'V GV <br />City Engineer <br />Issued By G • <br />Inspection By <br />Date Inspected_ 7—/O - '-T <br />SEE SKETCH ATTACHED NO, ] j <br />