Laserfiche WebLink
:-:, <br /> _ ' . ' I . _. , _ <br /> e�erett �/ <br /> LJ' i ,G , _z ,' _ <br /> e , _ . <br /> , - <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> � :�;: t; � <br /> No.�.0502 DATE _ _' ' J <br /> Service Address Utility Account No.. � ` �` � <br /> Billing Address_ � Connection Permit Fee <br /> City, State, ZiF,_ � Connection Fee J <br /> Owner (Mortgagor) ' Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed <br /> Customcr <br /> Phone - <br /> DESCRIPTION: <br /> Lot <br /> Block <br /> Division or Addition � � <br /> Sewer District ' <br /> Monthly Sewer Service - '-" <br /> Remarks: , . � j <br /> � � <br /> Monthly Sewer Constr. %: ...�':,.. <br /> Approved By i ;i <br /> Cily Engincer <br /> Issued By <br /> Connection By <br /> Inspection By ���« <br /> � � <br /> Date Inspected s /S 7 <br /> :D <br /> SEESKETCH ATTACHED <br /> li`!FPCCTIhp,� <br /> —+ec.... _ ._ ,• <br />