Laserfiche WebLink
e��'rett� <br /> � / ! �-• . <br /> � <br /> City of Everett <br /> Enpineerinp Department <br /> Sew�r Application ar�d Pern�it <br /> N0. DATE <br /> Service Address Utility Account No.___ <br /> Billing Address Conneciion Permit Fee_ <br /> City, State, Zip Connection Fee_ <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By_ <br /> Address Signed __ <br /> Cuetomcr <br /> Phone <br /> DESCRIPTION: Sewer District___ � <br /> Lot <br /> Monthly Sewer Service _ — <br /> 81ock <br /> Division or Addition Monthly Sewer Constr. <br /> — Trunk___ <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, [, W _ ft. <br /> Approved By <br /> City Enpineer <br /> Issued By <br /> , <br /> Inspection By - r��—=ti�_-' <br /> _ Date Inspected �D/G�i'G <br /> o-- <br /> SEE SKETCH ATTACHED NO. " I ' , <br /> ,�.,� <br />