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.. . ��0�0� ������ ����O�S��B�� <br />�@� OF E9/E�E�'T PERM9T �ER1/BCE� <br />3200 CEDAR STREET, EVERETT, WA 987_01 <br />425-257-8810 - FAX 425-257-8857 — uuww.everettwa.org <br />?�Z �=e���� <br />PROJECT ADDRESS <br />Property Owner <br />Meil Address <br />City <br />C�� <br />%50^1.� <br />Phane <br />�n�� <br />Tenant Name (If this is for a eommercial 6usiness) <br />. <<��s� c <br />7 U� �it'���G'1 C�L2� � V 1�t�-�-%�:� l.� � C��'3ocu7 � Pho� 1 J`Q <br />' C� StalefLip <br />ContfaCtof MaitAddress <br />�� � K L ,�ti� �� �(8 - <br />� I���-� �� City of Everett Business �cense Number (required) <br />WA Stale Cantractor Ucense Number (reqwred) <br />Work fo be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />p Side Sewer — New Installation <br />L7 Install Backwater Valve outside the building) <br />❑ `Gap off Sewer <br />❑ Instali Water Meter <br />� -- � - �.5 <br />a�v�s�o „nano+. <br />PERMIT# <br />� 1�5 05-� <br />