Laserfiche WebLink
everett <br />e d' <br />�5a <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />No. 21239 DATE i /. <br />ery ce Address Utility Account No. <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By _ <br />Address <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Type Permit: <br />SEE SKETCH ATTACHED <br />Connection Permit F <br />Connection F <br />Total <br />Signed <br />Customer <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Approved By <br />City Engineer <br />Issued <br />Inspection By <br />Date Inspected C_ — ep= z <br />No. 21239 <br />4 <br />