Laserfiche WebLink
cverett <br />�e <br />City of Everett <br />Engineering Department <br />� <br />�,�� i . � _ _ <br />, , � �� .:-_ <br />. ,; <br />, �, <br />� , ,;,,;_. <br />� <br />Sewer Application and Permit <br />N0. c�.00�J <br />Service Address <br />Biiling Address <br />City, State, Zip <br />Owner (Mortgagor) ` <br />Billing Pdame <br />Connection <br />DATE <br />��,,i 1. . <br />Address <br />� <br />DESCRIPTION: <br />Block <br />Division or Addition <br />r. -- �......:.. <br />Utility Account IVo.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />$ign0d Customer <br />Sewer District <br />Monthly Sewer Service � <br />Monthly Sewer Constr. <br />G <br />SEE SKETCH ATTACHED <br />, i.; <br />Lateral <br />Abutting Lot Li�e <br />N, S, E, W <br />/�pPfOVCd BV CitV Engineer <br />Issued <br />InspectionBy ��� <br />Datelnspected_�� 7 y — <br />N0. �0685 <br />