Laserfiche WebLink
Everen <br /> e 1 � ���? ��� � <br /> ..��.�� <br /> , . �,.,�. <br /> City of Everett <br /> Engineering Oepartment <br /> Sewer Applicat�on and Permit 336U2 <br /> N0. � OpH �Z DATE <br /> Service Address �� ' � pn �'^ p �"e Utility Account No. <br /> Billing Address <br /> Connection Permit Fee <br /> City, State, Zip <br /> Connec2ion Fee <br /> Owner �Mortgagor) Total Fee <br /> Billing Name <br /> Connection By <br /> AddfeSS � $ignBd Customer <br /> Phone <br /> DESCRIPTION: Sewer District — <br /> Lot Monthly Sewer iervice_ <br /> Block - <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk _ <br /> Type Permit: ' <br /> Lateral <br /> Remarks: Abutting Lot Line <br /> �! � C' � � (� N, S, E, W ft. <br /> • < � p <br /> � �t ,� C��._ Q Gl� ' f v i cU/ o cc <br /> K� owl,ed�.e �'�'� w�e _ <br /> C�� 1�S� c 1�D APProved BY r� <br /> City Engineer <br /> Issued 8y <br /> ��� <br /> — Inspection By — <br /> Date I nspected����7 y <br /> �— <br /> SEE SKETCH ATTACHED N�' <br />