Laserfiche WebLink
everetl �, <br /> � � � � � . �.. . � ' ' � <br /> City of Everett <br /> Engineering Department <br /> Sewer �►pplication �and Per�+nit <br /> ♦I �l � f/ 1 <br /> NO. � U i � �, DATE: � , <br /> Service Address_ _ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, Sta[e, Zip _ Connection Fee __ <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By _ <br /> Address Signed <br /> c�s�o�� <br /> Phone — <br /> DESCRIPTION: Sewer District <br /> Lot — Monthly Sewer Service <br /> Block <br /> Division or Addition_ Monthly Sewer Consxr. <br /> � <br /> Trunk <br /> Type Permit: , <br /> ^ Lateral <br /> Remarks: • � � 1 <br /> Abutting Lot Line <br /> � <br /> ' N, S, E, W _ it. <br /> „ i <br /> � ' i <br /> -- Approved By , <br /> Gty Engmcer <br /> Issued By _ I <br /> Inspection By�-- �' �� � �' �— <br /> _ _ -- --�Date Inspected_�"�� " r 7� _ I <br /> � <br /> SEE SKI:TCH ATTACHED NO. " <br /> l - - <br />