Laserfiche WebLink
:-� � <br /> __� 1� <br /> everett % ,� S i C ' <br /> � ._ /Z - ,? g-� ; <br /> � <br /> / — � �r— � �' <br /> City of Everett <br /> Enpineering Department ; ��"..�r <br /> Sewer Applicatifln and Permit�' ; <br /> N0. 21 .1. �� .i DATE � � <br /> Service Address Utility Account No._ <br /> Billing Address Connection Pennit Fc:e - <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By t� ;.• ; <br /> Address � t- ;: Signed <br /> Customer <br /> Phone ` � � <br /> DESCRIPTIUN: Sewer District ! � <br /> Lot . <br /> Block- _ Monthly Sewer Service <br /> Division or Addition i f Monthly Sewer Constr. <br /> Type Permit: Trunk <br /> lateral <br /> Remarks: A5 ,oj,�• � � �. Abutting Lot Line <br /> N, S, E, W ft. <br /> Approved By <br /> City Engineer <br /> Issued By <br /> Inspection By.�d.� <br /> 0 <br /> Date Inspected "' <br /> SEE SKETCH ATTACHED No. 21191 <br /> IMr;i'CCTION <br /> --r_--, <br />