Laserfiche WebLink
everett i,. � ' `--' <br />� `�,> ;,� ;_> <br />City of Everett <br />Engineering Uepartment <br />,, _ �- <br />� 9- � S� � ; ^ <br />� �y�,�� <br />Sewer Application and Permit <br />,, <br />N0. 2i��.� D.4 <br />Service Address <br />Billing F�ddress <br />City, State, Zip <br />.; . <br />Owner (Mortgagor) <br />BillingName_ "'�` <br />Connection By-- <br />Address ' <br />Phone <br />DESCRIPTION: <br />L.ot <br />[iluck — <br />Division or Addition <br />r....., o.,....�r• <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />$19�ed_ Cus�omer <br />Sewer Distnct __ <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />Trunk <br />Lateral _ <br />SEE SKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W <br />Approved By_. ` <br />Ciry Engineer <br />ISSUCd <br />Inspec <br />Date I <br />NO. � �'�l'��� <br />