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� ����0��'�' ����9� ; �����A g"a�6� <br /> ci n,o �� �v����� f����ri� s���i��� <br /> 3200 CEDAR STRCET, EVERETT, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v,nvv�.everettwa.org <br /> —;�-�_���lA.�_l <br /> PROJECT ADDRESS <br /> ��-VC-I� ,r,�,�� �t$�� <br /> Pr�perty Ovmer G4ail Addms; City� SLstelZip Pnone <br /> Ten2nt h'ame (If ihls r,for a commercial bcsines;) <br /> /7'CG//rJ /'�%t.t./+.�%�i79 S�/�7 7/�i''ru �✓r, r+c;ivcvi��ti w/�' Y',$�7Gi .is,37—/S�7 <br /> r <br /> Contrctor IAatlAddress � City Slale2p Phonc <br /> /f/��GGr'G Qo3�i aS3�/ss <br /> VJA State Contr or Licen=e Numbcr(reGuired) City of Everefl �usiness License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Se�ver Alteration <br /> '� Side 5e�ver – New Installation <br /> �Install Backwater Valve (outside the building) <br /> i <br /> i <br /> i <br /> O Cap off Sewer i <br /> ❑ Install Water Meter <br /> FL-C- <br /> ��� ; <br /> � b- B - (`� PERMIT#/ � <br /> I SignaWre Date � 1 �O � /�� i <br /> I \J <br /> l i <br /> ReKsen n.n.oppra <br />