Laserfiche WebLink
ever tt / -, _ -> <� _ �_ <br />�— ( f i- ._ <br />� �- � � J �''"' 1l� <br />City of Everett �--� � <br />Engineering Oepartment <br />Sewpr Application and Permit <br />rvo. 20908 DATE <br />Service Address – <br />Billing Address <br />City, State, Zip — <br />Owner IMc+tgagor) <br />Billing Name <br />Connection By <br />Address — <br />Phone_ _ —_ <br />D[SCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Utility Account No. <br />Connection Perrnit I <br />C�nnection Fee_ <br />Total Fee <br />Signed -- <br />Sewer Oistnct <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />} SEE SKETCH ATTACHED <br />Lateral_ <br />4butting Lot �ine <br />N, S, E, W <br />QPpfOV¢d F�Y—�. �itv Engineer <br />I ssu ed <br />inspection BY I <br />Date I nspected '� ' / % - � 5 <br />No. '�� I� ���' �', <br />