Laserfiche WebLink
r-'. `._ <br />'• everett , — <br />� � ' /, , ' , �, <br />/ ' �' <br />City of Everett <br />Engineering Department <br />Sewer Application and Permit <br />No. 210 4 5 DATE <br />Service Address�9�.3 z /i/.d/�iLrT" <br />Utility Account No. <br />Billing Address Connection Permit Fee_ <br />City, St�te, Zip Connection Fee <br />Owner (Mortgagor) Total Fee <br />Billing <br />Connection <br />Signed <br />Custamer <br />� <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition <br />Type Permit: <br />SEE SKETCH ATTACIiED <br />Sewer District <br />Monthly Sewer Servicc. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lo[ Line <br />N, S, E, W_ <br />Approved By_. <br />Ciry Enginecr <br />Issued <br />Inspection By - <br />Date I nspected <br />N O. �'1 ( I ' r <br />C <br />