1622 WETMORE AVE 2016-01-01 MF Import

i � I � r • • ev,efeft . � , � " � /^�. J v . �J fc4' i - e � � _, _ _ y `_,,- ;,. � � ,r�� , City of Everett Engineering Depariment Sewer Application and P�rmit � 3+��s No.:10 3 G 9 DATE — — Service Address _ —._— Utility Account No. 9illing Address _ Connection Permit Fee ' � City, State, Zip Connection Fee Owner (Mortgagor) _ Total Fee Billing Name Connection By Address � Siyned a�:iom�� Phone � ' — DESCRIPTION: Lot Block Division or Addition Sewer District — Monthly Sewer Service Remarks: f�- i ' �� � ; 4 D � Monthly Sewer Constr. .t a �l� • •� �� ti`� t e i tc '.r � '— Approved By . Ciry Enginerr ISSUCCJ B�/ Connection By �3- _ - Inspection By_ �� ` ��' - -- Datelnspected c��— � SEE SKETCH ATTACHED ,_„_i � �.;