Laserfiche WebLink
evereu � <br />� <br />�� <br />City of Everet. <br />Enginuerinc Dr.p;rtment <br />S�wE�r �p�liccat�on �a�c� ��::F�,�a�it <br />NO. _ <br />Service V,ddres� <br />Billing Address <br />City, Ste te, Zip <br />Owner (Mor��a <br />3illing Nanie_ <br />Connection E3v_ <br />F'hone <br />DESCRIPTION: <br />Lot <br />Block___ <br />Division or Addit <br />Type Permit: <br />�ATE <br />Utility Account Nc <br />Connection Permit <br />C;onnection Fee__ <br />l'otal Fee <br />. . �.a��a>5 <br />Signed <br />Cusiomer <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Se�.ver Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />l'ity Enpineer <br />Issued <br />F <br />�I �—y�-- <br />Inspe;.tionBy /�'�y'L��='��'-�-- <br />Date Inspected ��'/ � � <br />'7— - — <br />N0. �i,: <br />i <br />