Laserfiche WebLink
e��erett �t% � '� � <br />l -� �- � � ?. %'r <br />� I ' e . � � �' � �� <br />I / <br />l�' <br />City of Everett <br />Engineering Uepartment <br />Sedver Application and Permit <br />rvo.:!.:0 41 �} <br />Service Address <br />Billiny Address <br />City, �tate, Zip <br />Owner (Mortgagor)_ <br />Billing Name <br />Connection By <br />Address <br />Phone ' <br />DESCRIPTION: <br />Lot " <br />Block <br />Division or Addition_ <br />DATE <br />� � Utility Account No.. <br />- Connection Permit F <br />�- Connection Fee_ <br />Total Fee <br />� � i= <br />; ',., <br />Si�ned,_ <br />SEE SKETCH ATTACHED <br />Seever Disirict___ <br />Monthly Sewer Service <br />Monthly Sewer Constr <br />Approved By_ ` - — <br />Ciry Enginecr <br />Issued <br />Connection By <br />Inspection By — <br />Datelnspected._ <br />