Laserfiche WebLink
� - __ , <br /> � �� ��j � �_ � . . - <br /> .aVe�►e'tt �� r� " <br /> � �.. 1� , � <br /> � E� V`. <br /> `� �� �-' " � <br /> City of Everett <br /> Engineering Department <br /> Sewer App�ication and �'e�mit <br /> � .S4tiJ ' <br /> N0. 2O5LO DATE ' . _. <br /> 3 8'� ; � <br /> aervice Address ' � . ' � �p "�'0�! Utility Account No. - <br /> Billing Address Connection Permit Fee - <br /> City, State, Zip � Connection Fee <br /> Owner (Mortgagor) Totai Fee___ <br /> Billing Name _ <br /> Connection By <br /> Address . Signed <br /> Costomer <br /> Phone _ <br /> DESCRIPTION: Sewer District <br /> Lot <br /> Block_ Monthly Sewer Service _ <br /> Division or Addition —Monthly Sewer Constr. <br /> Trunk ` <br /> Type Permit: -- <br /> Lateral <br /> Remarks: P � <br /> Abutting Lot Line <br /> _ .�4 ��- - 7 N, S, E;,'�t,.o� _ ft. <br /> ,�t�� <br /> - �1 Approved By <br /> ^ Ciry Enginrer " <br /> — Issue� By -- -- - <br /> Inspection By _— � <br /> Date Inspected <br /> 9 <br /> SEE SKETCH ATTACHED No. 2 0 6 2 0 <br /> INSP�CTION <br />