Laserfiche WebLink
everett <br />� <br />City of Everett <br />Engineering Oepartment <br />�ewe� Appli�atian can� �ermit <br />NO. �: . .; � <br />DATE <br />Service Address � h�� � T/� A� F�/ <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name_ <br />Connection By_ <br />DESCRIP'iION: <br />Lot � <br />Block <br />Division or Addition <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee <br />SIgf12d�--��stor.er � <br />0 <br />Sewer Dlstnct <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />>butting Lot Line <br />N, S, E, 'N <br />qpproved BY City EnB���eer <br />Issued <br />,� � �� <br />/ r'i(�/'^LI.Gs+% ' <br />Inspection By� � <br />Date Inspected��7�7�7.�---- <br />NO. ' , . <br />