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I�`�'�P.@��� ���I�B`� ��'��.I���l�C� <br /> Gi d'°� �i ��/�RE I'�' �E�il�ill`i' SEFZ\fiCE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -v�nv.everettwa.org <br /> 13 �� C�� �n ���' <br /> PROJECT ADDRESS <br /> � yi !�J E�c✓ . �.,� 4�an1 <br /> Propert wner tJail Address City State/Zip Phone <br /> Tenant Name Q(lhis is for a commercizl business) <br /> �"/�o//u �'�%e����n y S �/'7 7/�.mre� .,i=; .�-re: y S v,i i� w/'- 1�$�7�i 3�S7��5�7 <br /> CoNraclor MailAddress � City State2ip Phone <br /> /�P��L G t'G �c 3 GT aS3�is s <br /> VJA Stale Contraclor License Number(required) Cily of Everett Business License Number(required) <br /> Work to be done: <br /> � Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ 5ide Se�ver — New Installation <br /> �Install Backwater Valve (outside the building) <br /> � <br /> ❑ Cap off Sewer <br /> ❑ Install Water Nleter I <br /> FEE <br /> / �30��o I <br /> :.. �( - � - 1 S PERf�1IT# ( <br /> Si�nature Date � l r O f-^ oD� <br /> J l(J <br /> RE�'ISEO 17/19^1014 <br /> � <br />