Laserfiche WebLink
�vere+l � � � � <br /> e �� � <br /> , � _ ; -�_ ; <br /> � - i7 - , ' �- <br /> City of Everett , .�/ <br /> Engineering Departrt�ent " ��� <br /> Sewer Application and Permit <br /> NO. , ' DATE — — — ---- -- <br /> .-!J� <br /> Service Address _ Utility Account No. <br /> Billing Address _ Connection Permit Fee. <br /> City, State, Zip � Connection FF.e — <br /> Owner (Mortgagor) _ Total Fee____ _--— _-- <br /> Billing Name <br /> Connection By — <br /> Address ____ Signed____ _--__ <br /> Cuslorner <br /> Phone — <br /> DESCRIPTION: Sewer District_____ ____ _—_--— <br /> Lot <br /> Monthly Sewer Service_.__-__—._._ <br /> Block <br /> Division or Addition _ Monthly Sewer Constr. <br /> --- — Trunk-- -------- <br /> Type Permit <br /> � Lateral <br /> Remarks: <br /> Q Abutting Lot Line <br /> _(�(1� C� CwJ��--��'—af� N• S� E� W----- ft. <br /> ____—��4���'7i�--- - <br /> Approved By <br /> City Enpineer <br /> Issued By —_. <br /> Inspection By — <br /> o -- - <br /> __ _____ Date Inspectedy_"S:� ___—_.__ <br /> SEE SKETCH ATTACHED N0. <br />