Laserfiche WebLink
everett - <br />� v1 <br />� , ,, , <br />City of Everett <br />Engineering Oepartment <br />Sewer Application cand Permit <br />NO. � J `� �� � � DATE - <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Name <br />Connection By ' <br />Address_ � <br />Phone __— <br />DESCRIPTION: <br />Lot <br />Block _ <br />Division cr Addition '• � t <br />Utility Account No. <br />Connection Permit I <br />Connection Fee_ <br />Total Fee__ _ <br />Signed <br />� <br />SE� SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Approved By _ <br />Gry Engmer.r <br />Issued By _____ _ <br />Connec[ion By <br />Inspection By ��•����`�"" <br />Date Inspected_ � �� �� <br />