Laserfiche WebLink
,:. . • ' . . <br /> e`vereR <br /> � i7 f"�� <br /> e . � ,� <br /> : ,� _ � <br /> ; <br /> �� �-1�-, �� <br /> ,� �. � -�; � <br /> 4�,> : ,r};,��! <br /> City of Everett ��� <br /> Engineering Department <br /> Sewer Application and Permit � <br /> J � � 'ln <br /> N0. '�O4G9 DATE _ -' i! " %" � <br /> ' j <br /> ServiceAddress ' ! 3 '"-�� •'' '�' "�� ` Utility Account No. ' <br /> Bi!ling Address ` ' � Connection Permit Fee � � <br /> City, State, Zip ,` i -'� , -� =% Cnnnection Fee <br /> � , � <br /> l '��" <br /> Owner �Mortgagor) `;' � �%- � �j� %�^'��� Total Fee , - — <br /> i , �it- <br /> , Billing Name � <br /> Cannection By - , % '. '�� <br /> , _ <br /> � f � �, _ � , i;', � <br /> I Address . <<i� � il Signed , � � <br /> customoi <br /> ;: � _, j�C/�., <br /> � Phone ' <br /> DESCRIPTION: <br /> , � � <br /> I Lct � r;f'. _ <br /> Block � � / , <br /> : - � ,� /`� , i;�,f'" <br /> Division or Addition __ <br /> Sewer District `-' <br /> Monthly Sewer Service ^^ _ <br /> Remarks: " --- <br /> - Monthly Sewer Constr. _ <br /> � <br /> C��;'`� �35'� ' <br /> �i7� � `� Approved By %: � <br /> City Engineer <br /> f i, f � <br /> : kI o,, .�- . �' Z �zz� -- Issued BY : `"' <br /> Connection By <br /> --- Inspection By � �� '^ nM�"� <br /> Date Inspected � 9��-`� <br /> � — <br /> � , � � <br /> ' SEE SKETCH ATTACHED � <br /> If�ISP�CTIOPJ <br /> —�Gc. <br />