Laserfiche WebLink
I <br />City of Everett <br />Engineetisg Department <br />Sewer Application and Permit <br />NO. "l l ; . 0 1 DATE <br />service Address_ _ r �e, <br />Billing A <br />City, State, Zip—_ <br />Owner (Mortgagor) J <br />Billing Name—_ <br />Connection By C LZ <br />Address <br />?hone <br />Utility Account No. <br />Connection Permit Fee _- _?o " 6 d <br />::� / e5-1y- <br />Connection Fee <br />Total Fee - 7i/.fin <br />alp <br />SignedX <br />Customer <br />DESCRIPTION Sewer District <br />Lot <br />Block _ <br />Monthly Sewer Service. <br />DiAsion or Addition "i j Monthly Sewer Constr. <br />Type Permit: <br />Remarks: <br />L/.Q.���! 56. <br />SEE SKETCH ATTACHED <br />ipftil'i=t-Iti;t <br />Lateral <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By _ <br />City Ent neer <br />Issued <br />Inspection F,yY12M�e <br />Data Inspected1/_Z � 7y <br />NO. <br />