Laserfiche WebLink
Ll <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />No. 21340 DATE <br />Service Address <br />E;'I;ng Address <br />City, State, Zip -- <br />Owner (Mortgagor)_ <br />Billing Name <br />Connection BY <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition_ <br />Tvnp Pprmit: <br />zt <br />_ Utility Account No. <br />Connection Permit Fee_ <br />Connection Fee <br />Total Fee_ <br />Signed <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Remarks: <br />I <br />e <br />SEE SKETCH ATTACHED <br />^1SPCClION <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_ <br />City Engineer <br />Issued B. <br />/2 <br />Inspection By <br />Date I nspected .., , /¢ - 7 <br />No. 21340 <br />