Laserfiche WebLink
r <br /> � � --� � � <br /> , everelt ,/G S' / L <br /> � X - 3 / - zg - s - <br /> City of Everett ? — Z 7 — 7 ,6 <br /> Enpineeriny Depsrtment � � /� <br /> Sewer Appl�cation cnd �ermit � s � � <br /> r r� r� � <br /> NO. L .L � � � DATE <br /> Service Address Ltility Account No. � <br /> \ <br /> Billin;�:�dc+ress Connection Permit Fee _ <br /> City, State, Zip � � Connection Fee _ � <br /> Owner (Mortgagor) Total Fee <br /> Billing Name <br /> Connection By _ <br /> Address Signed _ <br /> Customer <br /> Phone <br /> DESCRIPTION: Sewer Di;trict ' <br /> lot <br /> I Block P9onthiy Se�.a-er Servir.e <br />� Division or Addition Monthiy Sewer Constr. � <br /> Trunk <br /> Type Permit: i <br /> Lateral <br /> Remarks: <br /> Abutting Lot Line <br /> fJS Pr_i�,��� N, S, E, W ft. <br /> I <br /> Approved By <br /> il <br /> Ciry EnBinecr <br /> M Issued By <br /> Ins ectinn B <br /> ' Y <br /> Date Inspected — — <br /> e <br /> SEE SKETCH ATTACHED NO. ? j_ ;�`� ( <br /> � , I <br /> I <br /> E il <br />