Laserfiche WebLink
everetl � ' I ' ' <br />e � � + � -�� , <br />' (' � Y <br />;,,�, <br />� <br />City of Everett <br />6igineering Department <br />Sewer Applicatian �and Permit <br />,_ � �_ <br />N0. -�.�%��J DATE <br />Service Address ' � -' _�1'%= Utility Account No.. <br />Billiny Addrr,ss_ f:-' '�-- _ Connection Permit F <br />City, State, Zip '�I t'- T 1 Connection Fee_ <br />Owner (iVlort,yagor) __ � ` Total Fee <br />Billing Name_ _ <br />Connection By <br />Address � x % < `-� - � � ' /'� F - Siqned __ <br />- c�s�om� <br />, , - <br />Phone_; -- — <br />DESCRIPTION: <br />Lot__ <br />Block — <br />Division or Addition ' � � � ' ' <br />' Remarks: <br />: i�� l= <br />■ <br />� <br />� <br />SEESKETCH ATTACHED <br />Sewer District <br />Manthly Sewer Service <br />Monthly Sewer Constr <br />Approved By � <br />Cilv Engineer <br />Issued Bv <br />;,.; <br />9 <br />Connection By <br />Inspection By_dl� °''����'�"""'-' <br />Date Inspected i �� ?� � 3 _—_ <br />