Laserfiche WebLink
� y. <br /> ever�i -;� t� - �- ' � 2l._ � <br /> +�_" , j , ,4 1� <br /> � �`',� , , ���.r_��_ <br /> City of Everett <br /> Engineering Department <br /> Se�er Application and P�rmit 3 ��`�'� <br /> � ��, � , <br /> No. 2 L 6 0 i DATE —' <br /> Utility Account Na <br /> Service Address <br /> Connection Permit Fee <br /> Billing Address - <br /> Connection Fee <br /> City, State, Zip " " <br /> ��, ;,, � Total Fee --' <br /> Owner (Mortgagor) " <br /> Billing Name - --T— <br /> Cor.nection By , � . <br /> Signed c�:mmo� <br /> ,ddress_ <br /> Phone — <br /> Sewer District <br /> DESCRIPTION: <br /> Lot_-- Monthly Sewer Service <br /> Block__— Nionthly Sewer Constr. <br /> Division or Addition <br /> • Trunk <br /> Type Permit: �-- Lateral <br /> Remarks: Abutting Lot Line ft. <br /> N g E, W — <br /> � � .apP�OVB(� BY . Ciry Engineer <br /> Issued By -- <br /> �— — <br /> Inspection By — <br /> Date I nspected_ ----" <br /> � r�o. `,-' �) �; I�I 1_ <br /> SEE SKETCH ATTACHED ` � <br /> ,;i,:� �. . <br /> ,__. <br /> :� _ — <br />