Laserfiche WebLink
ever�tt "�_ _ - <br /> -e 7,� �,�� <br /> . � � � � r ;���, <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> 32��� <br /> NO. _�. !) � '.? ( DATE - <br /> Service Address �/CY�/ O.�6AF��//`i�/ Utility Account No. <br /> '. _ <br /> Billiny Address Connection Permit Fee <br /> 1 <br /> City, State, 2ip_ � ' " % �� Connection Fee <br /> Owner (Mortgagor) - Total Fee � <br /> Billing Name <br /> Connec:ion By '� _ <br /> � � <br /> Address � " G , Signed_ <br /> ' �• � �. Cusmmer <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 /> � �A� � . <br /> � <br /> �� ' Approved By_. ; i <br /> Ciry EnBinecr <br /> � �"`�`' �' � � Issued By <br /> Tc �� . <br /> Connection By <br /> Inspection By ti� -�•-�--' <br /> Date I nspected�/�3 <br /> � <br /> SEE SKETCH A'fTACHED � <br /> ;f<SPECTfON � <br />