Laserfiche WebLink
everett <br />e <br />City of Everett <br />Engineering Uepartmen: <br />Sewer Application and Permif <br />N0. �- ' _' ,. , DATE <br />Service Address <br />Billing Address - <br />City, State, Zip <br />Owner (Mortgagor) <br />Billing Na.�ne <br />Cannection Bv <br />DESCRIPTION: <br />Lot <br />Division or Add <br />Type Permit: <br />Utility Account No.. <br />Connection Permit F <br />Connection Fee_ <br />Total Fee <br />Signed <br />Customer <br />SEESKETCH ATTACHED <br />Sewer District__ <br />Monthly Sewer Service. <br />Monthly Sewer Const�. <br />Abutting Lot Line <br />N, S, E, W <br />Approved By <br />Ci;y Enginecr <br />I ssu ed <br />/� ,, <br />Inspection By t ' �"{� '«�—J <br />Date I nspected ���� � � ��� <br />N0. <br />