Laserfiche WebLink
•�ve�Y;n <br />e� <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />�;�, <br />N0. L .� " -L 1 DATE <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Tvoe Permit• <br />. ; ;; __. _ . _ <br />, �_.�-2/ --- z- 9 - s —" <br />�-��-�.� <br />; i <br />/� ,s. �: y �._ <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <br />Sewer District _ <br />Monthly Sewer Service. <br />Wlonthly Sewer Constr. <br />. SEESKETCH ATTACHED <br />iP!'.4PCCI IOiJ <br />� <br />Lateral <br />Abutting Lot Line <br />N,S,E,W <br />Approved By <br />City Engineer <br />Issued 8 <br />Inspection By <br />Datelnspected <br />NO. %' -'- ' '. .�- <br />