Laserfiche WebLink
everett , <br />� <br />Ciry of Everett <br />Engineering Oepartment <br />Sewer Application and Permit <br />No. 209�L� <br />Service Address <br />Billing Address <br />City, State, Zip <br />Owner (Mortgagor)_ <br />Biiling Name <br />Connection By <br />Phone <br />DESCRIPTION: <br />Lot — — — <br />Block <br />Division or Addition <br />Tvue Permit: <br />DATE <br />Utility Account Nc <br />Connection Permit <br />Connection Fee__ <br />Total Fee <br />Cus�omer <br />Sewer District <br />Monthly Sewer Service. <br />Monthly Sewer Constr. <br />SEE SKETCH ATTACHED <br />Lateral <br />Abutting Lot Line <br />N, S, E, W <br />APPr°� ` . BY— <br />City Engineer <br />Issued <br />Inspection <br />Datelnspe <br />N0. ' <br />