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2306 RAINIER AVE 2020-05-07
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2306 RAINIER AVE 2020-05-07
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Last modified
5/7/2020 11:01:24 AM
Creation date
5/7/2020 11:01:21 AM
Metadata
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Template:
Address Document
Street Name
RAINIER AVE
Street Number
2306
Notes
BACKWATER VALVE
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Jun 15 2015 01:34PM CJ'S PLUMBING & SERVICE 360-691-1301 page 1 <br /> irn CPULt <br /> . I <br /> 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 /> a 'S 41' CO False r Ott" <br /> PikOJECTADDRESS 31 <br /> ji,reArtJ uNn 3 ) L 050 (-�0 6 -Property Owner Mail Address City ) State/Zip Phone <br /> Tenant Name(If this is for a commercial business) <br /> cj-t61(-\( <br /> cUY1\Oft A-\%r\NirN&LbirthACIFCMS LtiPt- <br /> Contractor ail Address City Stateizip Phone <br /> Q SeLQ9 s c‘O <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration • <br /> ❑ Side Sewer— New Installation <br /> .,Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> yaa <br /> PERMIT# <br /> Signa ure Date U <br /> ' ` I5®fr ®�� <br /> REVISEQ 11/1W2014 <br />
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