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a����o� ������ �►���o������ <br />�B`�1° OF �V/E��TT PERMB'� ���VB�E� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 — www.everettwa.org <br />�� (� f I��; <br />PROJECTADDRESS <br />PropeAy <br />Meil Address <br />City <br />c,�zs� <br />2�7-�58� <br />StaleZp Phone <br />�(� i� i <br />Tenanl Name (IF lhis is for a �ammercial business) <br />� (�iZSj <br />., ,�' j,z CUw�.:�.l:i �v �t�„5�3 z�rti--�i��sG <br />-S, 7 (JC, / �;i� iL'1 G� Statu2ip Phane <br />Contractof '/Q� <br />MailAddress ��ty <br />/-1 h � �i '7 V <br />i� ��,i� ����� �' �� City of Evereri Business �cense Number (reqwred) <br />'NA State Contractor License Number (required) <br />Worlc Co be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />f� Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Instail Water Meter <br />/'_ _ �D � �� ��,�% <br />10 <br />PERMIT# <br />u �'S0(Q--D�� <br />r+tvrsev rv�srzma <br />