Laserfiche WebLink
everett <br /> e . �-� . . <br /> ',; . <br /> -� � �� i 1 <br /> /� <br /> City of Everett � <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> � �, .. ,i :; <br /> NO. 2 U � � H DATE .—.> >:—, _.._... <br /> Service Address_ __ Utility Account No._._ _ <br /> Bflling Address_ Connection Permit Fee _ <br /> r,�cy, State, Zip _ Connection Fee <br /> Owner (Mortgagorl_ Tohel Fee___ <br /> Billii�g Na�nc _ ,_ <br /> Ca�nection By _ __ <br /> Address _ Signed _________.____ __ <br /> a�io��•,;- <br /> Fhone _ <br /> DESCRIPTIOPI: Sewer Uis;iict <br /> Lot <br /> Monthly Sewer Service_ __ <br /> Block______ — <br /> Division or Ad�lition__ _. ___ Monthly Sewer Constr. <br /> --—-- Trunk <br /> Type Permit -- <br /> Lateral <br /> Rem 'ks: <br /> — -*- r— Abutting Lot Line <br /> - ,,,1,'_,: _�_, N• S, E• W-- ft. <br /> •- . , . . .. <br /> - . . , ,� , . <br /> — - Approved By <br /> Ciry Enpmcer <br /> Issued BY— _-_-.----__ <br /> — ---- <br /> Inspection BY-------- ------_ ---- <br /> ------- - ._- ------___ --------- Date I nspected <br /> p -- ---�-- -�-- <br /> SEE SKETCH ATTACHED N0. " <br /> � <br /> 1 ! - � . <br />