Laserfiche WebLink
evemtt t.a _ _ _ , ; <br />� j- .- J— �? � i ��f�'/; <br />City of Everett <br />Fngineering Uepartment <br />Sewer Application and Permit <br />No. 2091:i DATE <br />Service Address � ' Utility Account No._ <br />Billing Address <br />Connection Permit F <br />City, State, Zip <br />— Connection Fee_ <br />Owner (Mortgagor) � ' Total Fee <br />L _� : <br />Billing Name ' <br />— <br />Connection By <br />1 — � � ��I�� – <br />Address Signed — <br />Cusmmer <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition_ <br />SCWCf �ISifICY ' <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral_ <br />Abutting Lot Line <br />N, S, E, W_ <br />� ------ <br />SEESKETCH ATTACHED <br />AppfOVed By_. �.�� Engineer <br />I>sucd fiV-- - <br />� <br />i � " , ( , -- — <br />Inspection By — <br />Date I nspected �/5'� ,"' S � --_ <br />� <br />N0. ?n�� � <br />