Laserfiche WebLink
- - -- --- - - - - ---- _ _-- -- - --- -- <br /> -- � <br /> � � <br /> � UTILITY PERIVIIT APPLICATION � <br /> , CITY OF EVERETT PERMIT SERVICES <br /> 3700 CFDAR S iREE i, cVERETT, WA 98201 <br /> . 425-257-8810':'-•FAX 425-25'-8857 -www.everettwa.org ' <br /> • ; <br /> i <br /> ' , <br /> ; ;z,� �, y . <br /> 1y2O ,�A�� <br /> PROJECT ADDRESS , � (4�.5� / � <br /> . :�a•,-�, i <br /> /_� 7��o�`�sa,J-- .5��?-- '-- ---���� -`�'P�aS 3a,- B�� � <br /> '''o�Y Owner 1.1�i Aadress City Slaie;Gp Vno^.e <br /> 1 <br /> — - --r� --- — —♦ - -- -- - -- ---- -- — ---- <br /> � Ienant Nav,e �1f V���,�s lor a commercal busmessj � <br /> ��� <br /> ���o.�ll� 7'�,uaS, ti �6 , �oicSS��__..�v G/�/% c✓s� y�zv�, 01 s�- ,�� <br /> Cortrac or ��� Idad 9ress � Gt� SIaIMZ�p Phcne � <br /> LAMr�r3��.i 9i7�Zls ����� � I <br /> :VA State Ccntrac'or L�cerse �l�.imbe�(reouired! C�ty ot Everett Husmess 1�cense Number(requued) <br /> Work to be donc: � <br /> i <br /> ❑ Side Sewer Repau � <br /> i <br /> I ❑ Side Sewer Alteration I <br /> I <br /> I <br /> ❑ Side Sewer - New InstaUation <br /> � <br /> Install Backwater Valve (outside ihe bulldmg) I <br /> ' . i <br /> I . � <br /> � O Cap off Sewer <br /> ; <br /> I ❑ Install Water Meter - <br /> � FEE <br /> ' �D °0 <br /> II PERMCTtt <br /> 5�����w��-,---- ---- — --- �.—„� — -- � <br /> U Ihbl - lo � <br />