Laserfiche WebLink
everelt <br />e ���,� <br />City of Everett <br />Engineering Department <br />I <br />� �r r <br />Sewer Applicatior� and P�rEn�t <br />NO. i� � U'� DATE �6 r/��',.:--- <br />Service Address�`l��- <br />Billing Address <br />City, State, 2ip <br />pwner (Mortgagor) <br />Billing Name <br />Connection By <br />Address <br />Phone <br />DESCRIP ION: <br />Lot <br />[ilock____�—_ <br />Divisio� or Addition <br />"�`_' ..� _ <br />Ft -���• ` '"��.�, <br />!�� � �'��� <br />;� <br />Utility Account No._ <br />Connection Permit Fe <br />Connection Fee_ <br />Total Fee <br />SIg�Cd Cusromer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral__ <br />Abutting Lot Line <br />N, S, E, W_ <br />SEE SKETCH ATTACHED <br />qpproved By <br />City En9inecr <br />Issued <br />� r <br />Inspection By <br />—c t�c4_—, <br />Date I nspected � / ��/7 {' � <br />rvo. 21505 <br />- >� <br />� <br />