Laserfiche WebLink
evereft . � .f _ 1 � ' _.J _ � <br /> e � � �� ` ' ��;�;f�. <br /> I�'�� ��� ''�� � <br /> , r <br /> i% (� f <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application cnd Permit <br /> NO. 2 Q� $ 6 DATE <br /> ,� <br /> Service Address " ' Utility Account No. <br /> Billing Address r Connection Permit Fee <br /> City, State, Zip � � Connr.ction Fee <br /> Owner (Mortgagor) ' "- Total Fee <br /> Billing Name " �- ' % <br /> Connection By <br /> Address_ Signed <br /> Customer <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 /> Laterel <br /> Remarks: <br /> Abutting Lot Line <br /> • N, S, E, W ft. <br /> ' � , i �; <br /> __ � A.pproved BY— <br /> . - - . . �!l'� � - - CiryEngineer <br /> — Issued By <br /> Inspection By <br /> Datelnspected <br /> e <br /> SEE SKETCH ATTACHED NO. ' I ' � ' `-' j; <br /> INSP[CTl�'� <br /> F <br />