Laserfiche WebLink
everett `�- �� - Z�, --`� <br /> � �� I�,� �,� � <br /> �� ti . „ <br /> ;�,r,:• <br /> I'� <br /> City of Everett <br /> Engineering Department a�Z J 6 0 <br /> Sewer Application and Permit <br /> No. 10 0 4 4 ✓ DATE — - <br /> /3/9 W�?.�-N'uT <br /> Service Address ' Utility Account No. <br /> Billing Address_ Connection Permit Fee <br /> City,State, Zip - � Connection Fee <br /> Owner (Mortgagor� �'� � Total Fee <br /> Billing Name <br /> Connection By <br /> Address Signed � <br /> Customer <br /> Phone <br /> DESCRIPTION: ,� � <br /> Lot <br /> Block Z �O ` <br /> Division or Addition � � <br /> Sewer District <br /> 1 <br /> Monthly Sewer Service <br /> Remarks: �G���a-�CpR/ m,v �}c�N �j�p <br /> �� � Monthly Sewer Constr. <br /> o, wc.. t c� e-... �a�.-., <br /> . <br /> — Approved By <br /> Ciry Engincer <br /> Issued By <br /> Connection By <br /> I nspection By ��/�-f��<.-� <br /> Date Inspected��.��7'y <br /> YI <br /> SEESKETCH ATTACHED <br /> IiS'S;'i_('i li lyd <br />