Laserfiche WebLink
j <br />everett � i ' � ;' <br />� \ � <br />_. ���r �� � <br />�? � <br />� , � �, , ,i7 <br />City of Everett � <br />Engineering Oe--rtment <br />Se�nrer App�ication and P��rv�it <br />rvo. - � 3 7 �: <br />Service Addre� <br />Billing Addres <br />City, State, Zi <br />Owner (Mortg <br />Billinq Name_ <br />Connection B� <br />Phone <br />DESCRIPTION: <br />Lo; <br />Block <br />Division or Addition <br />DATE <br />Utility Account No. <br />Connection Permir f <br />Connection Fef;____ <br />Total Fee <br />Siyn <br />� <br />SEE SKETCH ATTACHED <br />�P <br />cus�onv,r <br />Sewer District <br />Monthly Sewer Servicc <br />Monthly Sewer Constr <br />Approved <br />Ciry En�ineer <br />Issued By <br />Connection By_ <br />j � <br />Inspection By ,�L ' '*—�-!^�� ��—v _ <br />Date Inspected `�% 1C ��i' 3 _.__ <br />