Laserfiche WebLink
�everettl <br />� ' <br />City of Everett <br />Engineering Department <br />Sev�rer Appl��a�ion e�nd Perrnit <br />N0. DATE <br />Service Addres� <br />Billing Address <br />City, State, Zip <br />Owner (Mortga <br />Billing Name_ <br />Connection By_ <br />Uti� ty Account No <br />Connection Permit <br />Connection Fee_ <br />Total Fee <br />. .� J l �..-' � <br />r ' '_ � C� '_ z �--�- <br />`�' __ � ._." _ . <br />/,i�v'�r¢' �'`- • <br />Signed _ <br />Customer <br />DESCRIPTION: Sewer District <br />Lot <br />Block Monthly Sewer Service. <br />Division or Addition Monthly Sewer Constr. <br />Type Permit: Trunk <br />Lwteral <br />SEESKETCH ATTACHED <br />Abutting Lot Line <br />N, S, E, W. <br />Approved By _ <br />Ciry En��ineer <br />ISSU2CI <br />Inspection By _ <br />Datelnspected_�i�' _ <br />N Q ! -" � ' <br />