Laserfiche WebLink
, <br />� <br /> P�er';� <br /> � <br /> ,City of Everett � <br /> . <br /> Enpneeriny Department (L � <br /> Sewer Application and Permit <br /> N 0. '_�i �� � '� L ATE <br /> Service Address _ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> r City,State, Zip Connection Fee <br /> Owner (Mortgagor) Total Fee I <br /> Billing Name_ � <br /> Connection By <br /> Address Signed <br /> cu:�omer <br /> Phone I <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service — � <br />' Block <br /> Division or Addition Monthly Sewer Constr. <br /> I Trunk � <br /> Type Permit: _ <br /> Lateral <br /> Remarks: ,ys f'f.c' S,f'frc•d �G " Y v "' /'a�'•L_ Abutting Lot Line <br /> N S E� yy ft. <br /> Approved By <br /> City Engineer <br /> Issued By <br /> — Inspection By ��� ���� <br /> � <br /> _ Datelnspected_�3/�s <br /> e SEE SKETCH ATTACHED NO. 7 _I_ _�_ �� �i <br /> i' f =� . „ <br />