Laserfiche WebLink
evecett � - �3 / � � <br /> � � � � _ �j �G-i r-z ��, 75 <br /> � y <br /> City of Everett <br /> Enpineering Uepertment <br /> Sewer Application and Per�mit � ;� ,� 1} <br /> , _ � __ �� ; <br /> No. 2 0�o� �9a��,,�- <br /> Service Address —r'- -"�— y' — l Utility Account No. <br /> - :! r; <br /> Billing Address � �"� � ' �- Cannection Permit Fee <br /> City,State, Zip ` ' �i � '�`-'� i ' •�C7'���. Connection Fee <br /> , _ �;; c; <br /> Owner (Mortgagor) • -�" '`_ '- � F- " Total Fee --- <br /> Billing Name �' ` � E^ <br /> � <br /> ;. <br /> � , <br /> Connection By ` � F � � ; "' ` ' . <br /> L <br /> Address ' �'�� � � - ��' Signed a,�ome� <br /> --,�,, �� - � c.; C C�1 <br /> Phone , <br /> ,, � <br /> DESCRIPTION: Sewer District "` � %' � `"` <br /> Lot . %r ' <br /> Monthly Sewer Service <br /> Block <br /> Division or Addition �-�' � �' '' �• '' ' l Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: ' - � � <br /> Lateral <br /> Remarks: S�,- S c Abutting Lot Line <br /> N, S, E, lN ft. <br /> �f �� �'o,(/�g S'1 'O C �Ec�JE <br /> / � � <br /> i i ,� � , <br /> c � APProved By � ` <br /> City Enpfneer - <br /> - Issued By � <br /> � . � , ___- <br /> — Inspection By ' � <br /> IDatelnspected �z' 2 '7 <br /> a <br /> SEE SKETCH ATTACHED N�• � O i� O � <br />