Laserfiche WebLink
THE C!TY OF EVERETT <br />Sfelch of Proposed Server Connection for Building Situated on Lot >� _ Block 4�t <br />Division or Addition <br />No. -:� Owned- by <br />,4pplication and Connection by_Licenser. <br />Depth of Sewer at Connection I ✓ <br />- -I <br />I J F <br />I <br />Connen e the /( day of - /_ 19// Examined and Approved by— <br />u Supt. of Streets & Sewers. 04224 City 6ngincer <br />Inspector <br />