Laserfiche WebLink
� everett- <br />e <br />City of Everett <br />Enginee�ing Department <br />Sewer Applic,ation and Permit <br />NO. � � � �E .� DATE <br />Service Address <br />Billinc Address � <br />�'. -K.. _ ...- iA � i <br />%� � � �:_ <br />a "'�-��3° ..a <br />�.�_ � ����� <br />Utility Account No. <br />Connection Permit Fee <br />City, State, Zip Connection Fee a5 59 01 �. ph �q RD <br />Owner (Mortgagor) _ Total Fee_ _ _ <br />Bi!ling Name <br />Connection <br />_�. <br />Phone <br />Signed <br />DESCRIPTION: Sewer District <br />Lot <br />Block Monthly Sewer Service_ <br />Division or Addition Monthly Sewer Gonstr. <br />Type Permit: <br />SEESKETCH ATTACHED <br />Ii�i51=�Ci:�-i!i:'il <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />City Engineer " <br />Issued <br />Inspection By �1i1� <br />Date I nspected 6' C�— lo <br />NO. ;� .I � �f �; <br />