Laserfiche WebLink
everett � .--;-� � <br />� S_ 2�_ 7� �= 9,.��� <br />� <br />City of Everett <br />Engineering Oepartm�nt <br />� � <br />. � ,-�, �, ��,-� <br />;. <br />Sewer Applicction and Perrroit <br />NO. `Z�79q DATE _ <br />Service Address_ Utility Account No. <br />Billing Address� — Connection Permit Fee <br />City, State, Zip . ' -_ _ Connection Fee _ <br />Owner (Mortgagor)_ � � �� Total Fee_ ______— <br />Billing Name <br />Connection By ` � <br />Address `�f�^ %'�` :�i �/ �'l�. '✓.t . /�/_�< Signed — <br />� a,:�o�„�� <br />��__.. � ;' <br />DESCRIPTION: <br />Lot'� <br />Block <br />Division or Addition <br />� ,..�� � . . .� <br />Sewer District —__ <br />Monthly Sewer Service___ <br />Monthly Sewer Constr. <br />Trunk __ _ <br />0 <br />SEE SKETCH ATTP,CHED <br />Abutting Lot Line <br />N, S, [, W. <br />Approved By <br />Ciiy Enginecr <br />Issued By <br />Inspection By �� — <br />Date Inspected /�'/z'Y/%`� <br />u o. <br />