Laserfiche WebLink
-evcr,etl � ��_ � <br /> e � - . _ � � <br /> , ., <br /> ,,� � .� �%�,,, . <br /> �� � �r,, <br /> � <br /> City of Everett <br /> Enpineering Uepertment <br /> Sewer Application and Permit <br /> NO. ? �Q Q � DATE ___ <br /> Service Address_ Utility Account No. <br /> Billing Address _ Connection Permit Fee <br /> City, State, 2ip _ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name � <br /> Connection By � . � <br /> Address Signed _ _ <br /> c�:���,�, <br /> Phone_ <br /> DESCRIPTION: Sewer District�, <br /> �ot_ __ <br /> Monthly Sewer Service__ <br /> Block -- <br /> Division or Addition_�_ _ Monthly Sewer Consir. <br /> Type Permit: <br /> Trunk <br /> Lateral <br /> Remarks: <br /> — Abutting Lot Line <br /> _ __ N, S, E, W _ it. <br /> Approved By_. <br /> Cny E�B�ncar <br /> Issued By <br /> Inspection By— __ <br /> _ _ _ Datelnspected _ _ <br /> o— <br /> SEESKETCH ATTACHED N0. <br />