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--�-- --- ----- - - -- ------- -- --- - - <br /> I^ � . � �� ���� <br /> �`�IP 0 �l� ��MI�' �P�L A <br /> � CIT'Y OF �VERETT PERMIT SERVICE� <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 47_5-257-8810 - FAX 425-257-885"1 -www.everettwa.org <br /> �31 <br /> -� Ai��rSo,� 3�vh. <br /> PROJECT ADDRESS <br /> ���1� �,.�A �� � <br /> PropefiyOWnef MailAddies, City SlatelZip Phone <br /> Tenanl Name Qf this is(or a commercial busine,$) <br /> /�'/'o/%u f�� '� S'/=7 7/t A�a .✓ .:-. .�-�a.�s v,ii� wi�- �fs�?� 3.�s7�/S�7 <br /> Contfaclor ldailAddress City Stata2ip Phone <br /> /�f�GLi'G QG3�T _�3�/ss <br /> WA State Contr or License Number(required) City of Everetl Du;iness 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 (outsidc the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Waler Metr,r ------ -- --- — — <br /> FEF <br /> �30,o0 <br /> _ (�� 3- 15 �FRr�rr�---�___ . <br /> -- ------ � --- --- <br /> --- -- - --- ------- <br /> �-- - SignaWru Ualx � ��D�r�I� I <br /> � <br /> r.avi;en r vrv.roi� �, <br />