Laserfiche WebLink
everelt <br />� <br />City ui Everett <br />Engineering Oepa:tment <br />_ <br />/ �� -- _ � <br />`'� I- � � <br />Sewer Application and Permat <br />NO. � 1� �?. 1 LL DATE <br />Service Address <br />�3illing 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 ___ _ _ _ . <br />Type Permit: <br />;�- <br />Utility Account No. _ <br />Connection Permit Fee <br />Connection Fee <br />Total Fee �� <br />Signed <br />Customer <br />� <br />SFESKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Monthly Sewer Constr. <br />Trunk <br />��y� Latera� <br />U:. <br />Abutting Lot Line <br />N, S, E, W __fi. <br />Approved <br />ry Engineer <br />ISSUC(J <br />Inspection By_� � <br />' ` ,� �� � _ <br />Date Inspected .5_ <br />NO. _ � <br />