Laserfiche WebLink
��9"V�..O�l� i�i�if�i��Y`�' ,A't�IFj'�9+�:��'a�i'� <br />CITY OF EVERETT PERMii �ERVl�F_� <br />3200 CEDAR STREET, EVERETT, V�IA 98201 <br />425-257-8810 - FAX 425•257-8857 – vnvtN.everettvda.org <br />�� � �G�� i <br />PROJECT AD�RESS <br />1�i i�G% P /j��%�PL%�—t�.�!!� GGl.!� � <br />Properiy0erner f.tai�,�ddress Ciry SlaletLp Phone <br />Tenant Name pf th�s is far a tommercial business) <br />Contraclor <br />ff�f� 9c-; G-r <br />�YA Staie Ccntractor License Num6er (inquired) <br />Work to 6e done: <br />❑ 5ide Sewer Repair <br />❑ Side Sewer Aiteration <br />O Sido Sewer — New Installation <br />City <br />�Install Backwater Valve (outside ihe builrling) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />� <br />r�EN5�0 H/IG,:Dt� <br />e N-iP %�S-�.. 38 7 !S�) <br />SlatelL!p Phane <br />a53 �/s s <br />City of Everett Bueiness License Number {required) <br />FEE <br />.��a� <br />PERh11T# <br />U I 5 d�3- o f Z <br />