Laserfiche WebLink
. __ _.._.__._-:,��r _ <br /> /;:�, _ __- <br /> CS!P�i�; ���` i': '-� <br /> t c� ' � ` ,�,� � � � s� ,�y Q -�� <br /> � � Y.�L �j���'� -- f'=%"` l �� 1 <br /> w� �.�.. r:i!. � <br /> City of Everett <br /> Engineering Department <br /> Sewer Applicatioru anc� Permit <br /> n!o. ;' � eaTE <br /> Service Address `� ���' Utility Account No. <br /> Billing Address Connection Permit Fee <br /> City, State, Zip _ Connection Fee <br /> Owner (Mortgagor�_ __ Tota! �ez_._ - <br /> Billing Name <br /> Connection By <br /> Sigr.ed_ <br /> Address Custor.er <br /> Phone --- <br /> DESCRIPTION: Sew�r District - <br /> Lot Mor,hly Sewer Service <br /> Block <br /> Division or Addition _��tonthly ieN�er Constr. <br /> Trunk — <br /> Type Permit: <br /> Lateral _ <br /> Flemarks: Abutting Lot Line <br /> N, S, E, W_ ft. <br /> -- Approved f3'y_ <br /> City Engineer <br /> —.-- ' Issued By <br /> --- Inspection By �✓ r \ ��•�'-"' <br /> -- —'- --- Date Inspected � L2�77 <br /> o �" � i <br /> SEE SKETCH ATTACHED Np, � 'i F,� ( <br /> -----�—__., <br /> � <br />