Laserfiche WebLink
everett <br /> � I , � , � .� . <br /> City of Everett - <br /> Engineering Department <br /> �ewer Application c�nd Perrn:t ^ <br /> , .; <br /> � ,t_. �.�t:r <br /> NO. �.�..��.� �.:�� L, DATE -- � � <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip ' Cunnection Fee_ <br /> Owner (Murtgagor) " — Total Fee <br /> Bi�Ving Narnz <br /> Connectlon By --- <br /> Address - - _ Siyned � , ,,--- <br /> Phone <br /> DESCRIPTION: <br /> Lot <br /> Block � <br /> Division or Addition ' •� -- <br /> Sewer District_ <br /> S� <br /> Monthly Sewar Service -- <br /> Remarks � � � �5 <br /> — .�7�y�� •L�� Mor�thly Sewer Constr._� <br /> � — <br /> �j'��L`c-�,-, '� G`� 4�K� 2T��vZ 3�z ,�ro�.� APProvedBy <br /> � Ciry Enginci.t <br /> u��l� f.� �� .o_<,.C�� /�,e�.� 7 ' ��� � Issued BY-- � <br /> — — Connectian Py <br /> Inspection Dy � � �k <br /> Datelnspected_ >__ _' _ — <br /> �— -- <br /> SEE SKETCH F�TTACHED <br />