Laserfiche WebLink
everett �'' , I <br /> J <br /> �� �- � �� : � ,�� �,,; __ <br /> � ; �n; <br /> � , � , . ,��/1 <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Application and Permit <br /> 33632 <br /> No. 2 0 6 ° 8 DATE ' :�` <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip__ ;1 Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection ^; = <br /> Address Signed ' <br /> � � Customer <br /> � <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot ' . <br /> Block Monthly Sewer Service <br /> Division or Addition � '� Monthly S�:wer Constr. <br /> Type Permit: , _ Trunk <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line __ -- <br /> N, S, E, W ft. <br /> Approved By_ ' ` /% , <br /> City Engineer ' <br /> Issued By <br /> Inspection By_N-L—_ <br /> e Date I nspected '7 �� �`� <br /> SEE SKETCH ATTACHED }�^^-�" NO. �_ (� i �? R <br /> li;�: � �r ., <br />