Laserfiche WebLink
UTILITY PERMtT APPLIC�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT,1/VA 98201 <br />425-257-6810 - FAX 425-257-8857 — www�.everettwa.org <br />831 [olbv Ave <br />PROJECT ADDRESS <br />ScottLarson Everett WA96201 (4251315-5821__ <br />Property0wner MailAddress Ciry State2ip Phone <br />Tenant Name (If this is far a commercial business) <br />A+Sewer TechnoloQies 900 Meridian E STE 19-193 Milton WA 98354 f888) 213•7656 <br />Coniractor Mail Address Ciry State2ip Phone <br />SEWERTL897DT �� l�''�1�' <br />WA State Contractor License Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />0 Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />O Install Water Meter <br />050789 <br />City of Everett Business License Number (required) <br />REVISED ifn9ll01a <br />