Laserfiche WebLink
everett <br />� <br />City of Everett <br />Engineerinn pepartmen <br />Sewer �pplication cand P�r�r�i�t <br />NO. <br />DATE <br />Service Address_Q��—/ �T� �' «� <br />Billing Address <br />City, State, Zip <br />Uwner (Mortgagor) <br />Billing Name <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot�— <br />Block <br />Division or Addition <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee <br />� <br />�^ – _ _ <br />L' — i 3 —2'75' `� <br />,_ h .. . .�_ <br />�� .. / -. _ - <br />�.. <br />Signed_ c�:come. <br />Sewer D <br />Monthly Sewer <br />Monthly Sewer Constr. <br />Abutting Lot Line <br />N, S, E, W <br />ApAroved By ���� Enginee� <br />Iss��zd <br />Inspection By ^'�''��r- J,.I,tis � � <br />Date lnspected �/��7 7 — <br />NC�. "1_ � 2 7 <br />