Laserfiche WebLink
i <br /> � <br /> ' <br /> everett _ <br /> � . , f15 � C�-, 5 ;" <br /> City of Everett <br /> Engineering Department � <br /> Sewer Application and Permit <br /> 32396 <br /> N0. �O O U O / �� DATE <br /> /S/Lo 2 /,��-audwr�� <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) - Total Fee <br /> Billing Name <br /> Connection By _ <br /> Address ' Signed � <br /> Customer <br /> Phone � - <br /> DESCRIPTION: <br /> Lot � <br /> Block <br /> Division or Addition <br /> Sewer District <br /> Monthly Sewer Service_ <br /> Remarks: <br /> Monthly Sewer Constr. <br /> " �'— o o S <br /> Approved By <br /> City Enginccr <br /> Issued By <br /> Connection By <br /> Inspection By <br /> Date I nspected�� z/�,T <br /> .m I <br /> SEE SKETCH ATTACHED <br /> INSPECTION <br /> h-r; - r �. yE�r=i. <br />