Laserfiche WebLink
_ . _ _ . �� . <br /> ��. _ - i �: _ . <br /> everett <br /> e . . _ _ _ , <br /> City of Everett <br /> Engineering Department <br /> Sewer Application and Permit <br /> NO. Z i_ '1 ,j �) DATE — <br /> Service Address Utility Account No. <br /> 8illing Address Connection Permit Fee <br /> City, State, Zip Connection Fee <br /> Owner (Mortgagor� Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed — <br /> Custamer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> � <br /> � <br /> Appraved By <br /> Ciry Engineer <br /> Issued By <br /> �--c-�� �.— <br /> Inspection By���'���'�"'� <br /> Date I�spected �� �� <br /> e <br /> SEE SKETCH ATTACHED NO. `�' �I_ -� ,=� � <br /> r.. <br />