Laserfiche WebLink
P <br /> eveietl , � � ' - <br /> i � _ , <br /> � i � `� � / , ,._ <br /> 1„ . �- .t� , � <br /> l, . ' <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> _ JJ frJ '..� <br /> N0. 20600 DATE � � - f ' %� <br /> Service Address Utility Acc:ount No. <br /> Billing Address Con�ection Permit Fee _ - <br /> City,State, Zip Connection Fee -- _ <br /> Owner (Mortgagor) - .;� ,' . � Total Fee_ <br /> Billing IVame <br /> �� �� �l <br /> Connection By . .. _ . f}�i{.1��- l (,��-t�•� , (_!j . �. <br /> Address Signed �� � ��1 '<<} le ��•.-�-r+ �a p=� <br /> ��� . ' Custome� � <br /> Phone " '% � —. <br /> DESCRIPTION: Sewer District <br /> Lot � _ <br /> Block � Monthly Sewer Service <br /> � � <br /> . ; <br /> Division or Addition� � � " Monthiy Sewer Constr. <br /> Trunk <br /> Ty�e Permit: <br /> � Lateral <br /> Remarks: <br /> - Abutting Lot Line <br /> N, S, E, W_ ft. <br /> �,.,,_�. �����. �� <br /> �.� t s ���-�3 '��,� s � � �� <br /> Approved By � <br /> Ciry Engineer ' <br /> — Issued By - �_ <br /> �' <br /> Inspectian By � •�-�'��"-�--�---- <br /> Datelnspected `��/ �� y <br /> 0 <br /> SEE SKETCH ATTACHED N0. n Q (j (� � <br /> Ii'I:'.r Ci'i I..';.� <br />