Laserfiche WebLink
everett <br />� <br />City of Everett <br />Engineering �epartment <br />�, - � - - " -.,� <br />,�=- <br />_�, ,t. _ <br />� <br />�<"� .. r. �f'� `..a <br />Sew�� �=PRBieatior� and Permit ' <br />NO. DATE _--__ -- <br />Utiiity Account No. — <br />Service Address�-- <br />Connection Permit Fee_ ' �' '— <br />, <br />Billing Address <br />Connectio,i Fee_ <br />City, State, Zip , <br />Total Fee <br />Owner (Mortgagor) <br />Billing Name <br />Connection By_ <br />_ Signed ,,.._.__e. <br />Phone — <br />UESCRIPTION: <br />Loe _— <br />Block — <br />Division or Addition <br />Sewer Distnct <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEESKETCH ATTACHED <br />4butting Lot Line <br />N,S,E,W <br />Approved BY Ciry Engineer <br />Issued <br />Inspection By----=– — <br />Date Inspected <br />., ; , - <br />NO. �_����� <br />