Laserfiche WebLink
everetl <br />� <br />c�*.y of Everett <br />Engineering Oepanment <br />/ � � �, <br />' ..-/ <� //.J�'�i." . <br />i e � <br />I <br />% �/� :l� <br />. r� <br />Sewer Application and Permit <br />N0. ;_ �) �? �g j DATE <br />Servi�e Address Utility Account No._ <br />Billing Address Connection Permit Fee_ <br />City, State, Zip � Connection Fee <br />Owner (Mortgagor) Total �ee <br />Billiny Name <br />Connection Bv— _ , <br />Signed i , <br />Customer <br />Phone <br />DESCRIPTION: <br />Lot <br />Block <br />Division or Addition. <br />Type Permit: <br />�� <br />SEE SKETC}i ATTACH[D <br />Sev✓er District <br />Monthly Sewer Service_ <br />Monthly Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line <br />N, S, E, W_ <br />Apprnvad By__. _ <br />Cily Enginecr <br />Issued B <br />Inspection <br />Datelnsoe <br />