Laserfiche WebLink
�verelt <br />� <br />City of Everett <br />Engineering Department <br />.n-Jr' <br />%' - ,1',' <br />_- , � �, •_ <br />`, ' ;:.. <br />�� ,:. <br />Sewer Appl�ea <br />NO. <br />Sarvice Address <br />Billing Address <br />City, State, Zip <br />Owner (Mor;gagor <br />Eilling Name_ <br />Ccnnection By_ <br />iri�� � and Perrre:t <br />DATE " <br />f�ddress <br />Phone <br />DESC4IPTION: <br />Lot _ • <br />Block_ <br />Division or Additian_. <br />�_ Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />_ Total Fee <br />$igned <br />Sewer District <br />Vlonthl;� Sewer Service <br />114onthly Sewer Constr <br />a <br />SEE SKETCH ATTACHED <br />Approv�d By <br />Ciry Enginecr <br />ISSUed IiY <br />Connection By <br />Inspection By�� <br />Datelnspected ` `� � � <br />