Laserfiche WebLink
4 : � <br /> everett � � • '� ���, "�"i'; " ' , <br /> � I �� � � /� �- / <br /> � — �— 7 � G�L � <br /> � j „�=-_ /, , . <br /> City of Everett ` <br /> Engineering Oepartrtient <br /> Sewer Ap�licat9on �and Permit : ,- <br /> � 33� 03 <br /> � Np,�, � �� 17 DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> . � <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor)_ ` �' ' Total Fee <br /> Billing Name ' <br /> Connection By <br /> Address � Signed c�s�om�� <br /> Phone <br /> DESCRIPTION: <br /> Lot <br /> Block_ <br /> Division or Addition � <br /> Sewer District <br /> _ _ <br /> Monthly Sewer Service <br /> Remarks: <br /> ` I Monthly Sewer Constr. <br /> J2�,�z r 7 <br /> 5'. � � - L,c„a<d � APProved Bv <br /> ) Ciry Enginecr <br /> �d <br /> i ( <br /> y "�Gc���t{,�_ � 7 �S Issued By <br /> � ^ �'-�----� °�' �-�-�$ <br /> ,e„_. <br /> � — Connection By <br /> �,�a'� �.�"�,... lY��,l�i• ..� <br /> Inspection By�� <br /> Date Inspected ��/' /7 -3 <br /> � <br /> SEE SKETCH ATTACHED <br /> Ii��isi��-C:��i�l��i� <br />