Laserfiche WebLink
_ � .�--_ �_� <br /> everett �� � G �-= <br /> e !- 3`1 - � � - � <br /> City of Everett <br /> Engineerinp Department <br /> Sewer Application and Permit <br /> NO. i ' 'i � � DATE <br /> Service Address Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City,State, 2ip Connection Fee <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By — <br /> Address Signed <br /> ca:�amer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> N, S, E, W ft. <br /> ' z _ t�- ..�–�., i.x ��-..a-,.�. <br /> �� Zz . <br /> Approved By <br /> Ciry Enpineer <br /> Issued By <br /> Inspection By��'� �4���'!�a'✓ <br /> Date Inspected.�9/7G — <br /> Y � <br /> � � SEE�SKETCH ATT D NO. � <br />