Laserfiche WebLink
C:Cr2fi <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />No. 21584 <br />Service Address <br />Billing Address <br />DATE <br />t <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection Dy { f . <br />Address— , <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Type Permit: <br />SEE SKETCH ATTACHED <br />INSPECTION <br />Utility Account No. <br />Connection Permit Fee <br />Connection Fee -- <br />Total Fee t <br />Signed <br />Customer <br />Sewer <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W ft. <br />Approved By <br />City Engineer <br />Issued B <br />Inspection By <br />Date Inspected 3Z/ -7 <br />No. 21584 <br />J <br />