Laserfiche WebLink
� <br />everef� � `' .; r. <br />e �� � � <br />���� � � <br />,,,. <br />City of Everett <br />Engineering Oepartment <br />Sewer Ap�licatio�n and Permit <br />rv o. % "i � l; '� <br />DATE <br />Service Address ��� � Utility Account Nc <br />Billing Address Connection Permit <br />City, State, Zip_ Connection Fee_ <br />Owner (Mortgagor) Total Fee <br />Billing Name <br />Connection Bv—_ <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Type Permit: <br />,.�--J� S � c- /� <br />-�-- _ ? _ Z8_ s <br />� — 2—S — �� <br />.� <br />j.��^. � .,. <br />Signed <br />Customer <br />SEESKETCH ATTACH[D <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By <br />Qry Engmeer <br />I ssued <br />/ + � -�— <br />Inspection By • ��sv�• _ <br />�atelnspected 3 � i'G <br />No. 21268 <br />