Laserfiche WebLink
everett , � ;�� _ , <br /> � ;'�.,_ �� :V �/�S/7S� <br /> � . � <br /> � � ;v�i <br /> � ��� <br /> City of Everett <br /> Engineering Departmeni <br /> Sewer Ap�alication and P�rrr�it <br /> NO. ,_ _ ,,� 'J :" DATE <br /> Service Address Utility Account No. <br /> Billing Address_ Connection Permit Fee _ <br /> City, State, Zip_ Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> Address _ Signed <br /> Cusmmer <br /> Phone <br /> DESCRIPTION: Sewer �istrict _ <br /> Lot <br /> Block _ Monthly Sewer Service <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: � _ - , <br /> .. , Abutting Lot Lina <br /> -- N, S, E, W ft. <br /> .,, . , <br /> /" <br /> �, <br /> . , . <br /> _, <br /> _ .— _ , � . r��,=-+T— . . . .. .. <br /> _ . _. . � Approved By— -- <br /> - - Ciry En,�necr <br /> i; <br /> — Issued By <br /> Inspection By <br /> Dateinspected <br /> 0 <br /> SEE SKETCH ATTACHED N0. <br />