Laserfiche WebLink
UTILITY PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> PROJECT ADDRESS <br /> Property Owner Mail Address City' State2ip Phone <br /> Tenant Name(If this is for a:commercial business) <br /> ��c ei / h i (7 51 S l s t- 8j.-, Se 0 i't�' t'✓f� � b 112S 7GU. GC) <br /> Contractor UMail Address City State2ip ! Phone, <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> O Side Sewer Repair <br /> O Side Sewer Alteration <br /> O Side Sewer— New Installation <br /> 4 Install Backwater Valve (outside the building) <br /> El Cap off Sewer <br /> ci Install Water Meter <br /> FEE 0O <br /> 30 <br /> C.— <br /> .. ��'I J PERMIT# <br /> Signal re Date U 1 .-2.09 ��� <br /> REVISED 11/19/2014 <br />