Laserfiche WebLink
evereri <br />� ��) _ c�- <br />City �f Everett <br />Engineerin;� Department <br />�� � �� <br />� i.; � <br />���t-, , b� �//( /��,? <br />r <br />Sev�rer Applieation c�nd� Perrnit <br />NO. 2O75V DATE � ���, <br />fv,�,���/y �7s <br />Service Address ' - ' �' � ' ' � � Utility Account Nc <br />Billing Address •' �/�� �— Connection Permit <br />City, State, Zip r%�j �/�-� % 1 — <br />; <br />Owner (Mortgagor) 'r'_ ' � • "���'`- <br />Billing Name <br />Connection By `_ ` ; i �', r:.,;. , <br />.� r . i� �,) i=l... <br />Address <br />� ,. ,. . .:.. . <br />Phone ' L � - � <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition ' ' <br />-� � ; i�� :�. � <br />Connection Fee__ <br />Totai Fee _ <br />$igned <br />Sewer District_ <br />Monthly Sewer <br />SEE SKETCH ATTACHED <br />—,�- , <br />.'-;P:-:�1�_ . <br />Monthly Sewer Constr. <br />Tru nk._ _ <br />Abutting Lot Line <br />N, S, E, W <br />Approved By__ <br />Ciry Engiiieer <br />Issued B <br />Inspection By � � <br />Date Inspected r� 3 J 7 <br />rvo. �i)753 <br />0 <br />