Laserfiche WebLink
q :�,I' -d.' . . ..... <br />e�erel�- <br />� <br />City cf Everett <br />Engineering Uepartmer�t <br />SQv�+e�' �►iPplization �nd Pt.rmit <br />NO. ' _ _i '. ' ( DATE � <br />Service Address Utility Account No. <br />Billing Address Connection Permit I <br />City, State, Zip Connection �ee_ <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Cornection By — <br />��,� ,`� �_vu <br />� G. ' 2c-U ' <br />, � /, _ <br />Address Signed <br />Customer <br />Phone — <br />DESCRIPTION: Sewer District <br />Lot � Monthly Sewer Service_ <br />Block_ <br />Divisir�n or Addition Monihly Sewer Constr. <br />Trunk <br />i — <br />INSPECi'I�'�'' <br />Abutting Lot Line <br />N, S, E, W <br />c <br />Approved By — <br />City EnOineer <br />ISSUO(J BY' <br />Inspection E1y �"�� -��-r�z�'^"—� — <br />Date I nspected ��T 4� 7.7_ <br />N�. 1 .� r f) �: <br />