Laserfiche WebLink
. _ i - � � - <br /> everelt -L- � - '� <br /> � ' ?— _ — _.- / <br /> � � � � <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit JJ 3 �� <br /> N0. C�.O536 DATE _ <br /> Sr:rvice Address 7 8��n w Utility Account No. <br /> Connection Permit Fee — <br /> Billing Address — <br /> City, State, Zip <br /> , Connectio� Fee <br /> Total Fee <br /> j Owner (Mortgagor) <br /> � Billing Name_ <br /> � , <br /> Connection By � ' ' <br /> Signed ' II � <br /> i QddfBSS � C��sromer <br /> Phone -- <br /> �ESCRIPTION: <br /> ' Lot_ <br /> Block <br /> Division or Addition Sewer District � <br /> �— <br /> Monthly Sewer Service <br /> Remarks: ` � — Monthiy Sewer Constr.. <br /> _ q — AppfOVEC� BY ����Enginccr � <br /> y��C6�-�.�t � G r'Z-Cy �I ��,� ��� � <br /> , ISSUE[J BY <br /> y"�/1 G�'S�' .2�.1�i �.�-ei f -f.;:,..-=�,�a.�� <br /> Connection By <br /> Inspection By '1 �`t�(`�`�'� <br /> Datelnspected 3 �O � -- <br /> �— <br /> � <br /> SEE SKETCH ATTACHED INSPECTIOf�: <br /> —r__ <br />