Laserfiche WebLink
evereri� <br /> � � l-�'�C�"� r IA�.�' <br /> � ] , - e� � � <br /> � . �_. <br /> City af Everett <br /> Engineering Department ��' <br /> 5e�nrer Application a�d P�rmi# <br /> NO. i DATE �1.� " �� _. .V�O" No� .= z-7- �-; <br /> Service F,ddress_ Utility Account No. <br /> Billing Address Connection Permit Fee <br /> Ci?y, St:ite, Zi� Connection Fee <br /> Ownei (�nortgagor) Total Fee ._ -- <br /> Billiny Name <br /> Connect�on By ----- � <br /> Address Signed_ <br /> Customer <br /> Phone <br /> DESC R IPT!ON: Se�ver District <br /> Lot ;'�'`7 �- �£�'-s Monthly Sewer Service__— — <br /> Block <br /> Division or Addition Monthly Sewer Constr. <br /> Trunk <br /> Type Permit: <br /> — Laterai <br /> Remarks: Abutting Lot Line <br /> N, S, E, W ft. <br /> ���'-�-,�0�1 <br /> -- Approved By <br /> City Enginccr <br /> -- Issued By <br /> — Inspection By������-- <br /> e __ __. <br /> ,Oate I nspected �t' / � • <br /> SEE SKETCH ATTACHED N�• �� -�- '� � � <br />