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.� <br /> ��9����' f����P`� ��'f�(���/�1�'V�� <br /> CITY OF EVERETT PERMI'� SERVICES <br /> 3200 CEDAR STREET, EVCRETT. WA 982�1 <br /> 425-257-8810 - FAX A25-257-8857 —vw.:v.everettwa.org <br /> /S25 �'�/�.�(,�o <br /> PROJECT ADDRESS <br /> �}��•�STInA Vl�/1,i�2L C�� <br /> PropertyGwner h9ailAddress City State2ip Phone <br /> Tenant Name(If this is for a commercial business) <br /> jJ�;,,v�r �i�t3lt�c�cl'�'m. �_n�� f��� �nn/02 �if/�1 2�.� 71 S 7��/-� � <br /> Conlractor Mail Address Ciry SlateJZip Phone <br /> l�u Ec ���-�- �y �-� Ds2y��' _ <br /> WA Slale Contraclor License Number(reqwred) Ciry of Everett Business License Number(required) <br /> � <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> � Side 5ewer— New Installation <br /> � Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> o� <br /> 3� <br /> � �� � s PERMIT# <br /> � naWrc Dafe � ����,�D�0 il <br /> JU <br /> FEVISEO if/'Q�.tlII ' <br />