Laserfiche WebLink
:"e� <br /> � everett � � � - i� � �� � - <br /> � � _ � <br /> ! � � <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Applicction and Permit <br /> rvo. 'Z'_0535 � :i :s�5 <br /> DATE <br /> Service Address - + _ Utility Account No. :� � r.- -• .-' (- , - <br /> Billing Address Connection Permit Fee -� " •� \ <br /> .�- -, -� <br /> City, State, Zip " i - ' � ' � Connection Fee`'��` �` �=: ; >' - - � • <br /> Owner (Mortgagor) ' t - '%',� � ') .- •i • � r�tii Total Fee - <br /> � i — <br /> Billing Name � --- <br /> Cornection By .` "t= 'r " - ,�,� • , <br /> Address '^�''�=797 i�✓'�_� - I Signed -' <br /> s �� � � Customer <br /> Phone_ ' - — � ,- .; , , <br /> � DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition r>' -;�•;`_�;; ; � " . <br /> Se�ver District � " - <br /> Remarks: .' Monthly Sewer Service - -�- <br /> �: F-r. 7- <br /> '�� .'„ � � Monthly Sewer Constr. <br /> ._ ��'' � <br /> "7 ''LNz C6 � rr CL� � <br /> ; "� Approved By i . �/ , ) <br /> � Qry Enginecr <br /> G' �'�� 5 � -�� � � ! — <br /> Issued By - <br /> Connection By <br /> Inspection By /Y � a(�4lu,J <br /> _ Date Inspected���y <br /> y� � <br /> � SEESKETCH ATTqCHED <br /> I�lSPECTIOIV <br /> —��_ <br />