Laserfiche WebLink
everett � �� <br /> e ,� Z � .� s- <br /> � <br /> City of Everett <br /> Engineering Department <br /> Sewer A�p�ication and P�rmit <br /> N0. i_' .I_ 'i (� ,: DATE <br /> '� :� �.'Y' Utility Accoun: No. <br /> Service Address,��-��____�_.,_� -.-_ �=r-% - — <br /> Billing Address Connection Permit Fee <br /> City, State, Zip _ Connection Fee <br /> Owner (Mortgagor! Total Fee <br /> Billing Name <br /> Connection By <br /> Signed <br /> flddfB55 � Customer <br /> Phone <br /> DESCRIPTION: Sewer District <br /> Lot Monthly Sewer Service <br /> Block_ <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> Lateraf <br /> Remarks: Abutting Lot Line <br /> N S E W ft. <br /> Approved By <br /> Ciry Engineer <br /> --- Issued By <br /> Inspection By <br /> Date 1 nspected <br /> 3 n .� :- „ ,� <br /> SEE SKETCH ATTACHED N0. ' .� ;? -'! _ <br />