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r� <br />U1"ILITI� PERfViI�' �4�PL��A�'��P� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�0(Z <br />,�� �� �ULh � �9�- <br />PROJECTADDRESS T <br />;3 r � -.P Z3 3 <br />`�iy'1 Gt ✓�� //u �a��� So !J' �oLb � -c'-�-v�� 7',!�?� a <br />Propedy0wner MadAddress Gty Slate2�p Phone <br />ienant Name p( this is for a commercial business) <br />Contractor ?.9aii <br />� ,�� � o �iP/J <br />VVA Stale Contractor ��cense Nun,ber (reqwred) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />�(o // U/,S�uhV'h-�'` � <br />C�ty <br />nL� stall [3ackwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />i:Et�5E0 Hn9RJu <br />StatelZip <br />,�I Z�� <br />� � � ��z 3 <br />Phone <br />C.� J � ��5� <br />City o( Everetl Business Lcense Number (requi;ed) <br />—3—lS� <br />FEE <br />�JD o0 <br />PERMIT# <br />U ( 5b3-�1(o <br />