Laserfiche WebLink
everen ,,'1 <br />� �� /3—C `�`�/�/`n'�'/�n <br />City of Everett <br />Engineering Oepartment <br />Sewer Applicction and Permit <br />N0. 2OGJE� <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name , <br />Connection <br />Address� � .'' <br />DESCRIPTION: <br />Lot <br />Black <br />Division or Addition <br />Type Permit: <br />DATE <br />�/ Y/ <br />Utility Account No. <br />Cunnection Permit r <br />Connection Fee <br />Total Fee_ <br />_ Signed <br />c�:�o�„e, <br />SEESKETCH ATTACHED <br />Sewer District <br />Monthly Sewer <br />Monthly Sewer Canstr. <br />Trunk <br />Lateral_ <br />�� <br />Abutting Lot Line <br />N, S, E, W <br />4PProved By ,� I� ' f 0�� �. �,, i ' <br />Gry Enpinecr <br />� %I <br />ssuedBy____�_�"�/(i, .! _ <br />� <br />nspection By .I / .(.�?�L�•—� <br />ate Inspected_1S ,,2 ���)� <br />; T� ------ <br />N0. <br />