Laserfiche WebLink
everer <br /> e <br /> City of Everett <br /> Engineering Depariment <br /> Sewer Application and Permit <br /> :; . � '7 � <br /> NO. '. I ;. DATE -- -- --- - <br /> Service Address _ Utility Account No._ <br /> Billing Address Cannection Permit Fee � <br /> City, State, Zip ' Conrn:ction Fee <br /> Owner (Mortgagor) ' .` Total �=ee—_---.----_---__-___ - --.--- — <br /> Billing Name <br /> Connection By — - <br /> Address__. ` Signed _ — <br /> a��a�„�„ <br /> Phone__ _ - -- <br /> DESCRIPTION: <br /> Lot__—_- <br /> Block <br /> Division or Addition - _`___ - __— <br /> Sewer Dis�rict___ .. — <br /> -- Monthly Sewer Service — <br /> Remarks: ; �J�_ c_ i' � ' � r ' <br /> — Monthly Sewer Constr._ <br /> �.�� ' �',�-r,�� !� C/� -.-.� t_.�C�y� 2u.1: y-t ,I <br /> � <br /> .ty�_,L.-p�=�` �^-v --��-=�6 Approved 8Y — <br /> T, Gry Engmccr <br /> _ _ _ �SSUBfI BY—_..-- . _ - . __ __— <br /> Connection By_ _ <br /> � Inspection By�_'�� ` ��" �• <br /> - - <br /> Date lnspected. _ . �='_v/'-'' -- - --------- <br /> _ _ _ _ _ _ <br /> Y/ <br /> SEESKETCH ATTACHED <br />