Laserfiche WebLink
everett � ��� <br /> e �� r <br /> ,� - � -�q -,��-� <br /> City of Everett <br /> Engineering Uepartment <br /> Sewer Application and Permit <br /> NO. r� .�.�� ) `.3 DATE � � <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee_' , _ <br /> City,State, Zip " Connection Fee <br /> Owner (Mortgagor) Total Fee r^ , <br /> Billing Name <br /> Connection By <br /> Address Signed � � � <br /> Cusromer� ` � � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permir. <br /> Latcral <br /> Remarks: <br /> Abutti�g Lot Line <br /> ' N, S, E, W, ft. <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By !°�•_ <br /> Date Inspected ' _ <br /> a � , <br /> SEE SKETCH ATTACHED No. 2148 �. <br /> If 1;,PECTION <br />