Laserfiche WebLink
- --- ---- - -- — <br /> . i - - - -- � <br /> �.Y`���,���' f��:�lii�iY`�� ,�:�'�'�.N��,M'��� � <br /> � CITY OF EVERETT �'ERMI i SERVIC�� � <br /> 37_00 CFDAR STREET, 6VER61 T, ��`JA 98201 i <br /> 425-257-8810 - F/�X 425-257-8857 -�vvnv everett�va.org i <br /> � ; <br /> I <br /> � /S`Z `l �,-�f N� Rv+= , <br /> � PROJECT ADDRESS I <br /> I � <br /> ! �= �� Pt r-r�s�� 1 Sz � E��,� ���r �,.yv w� `��z a c � <br /> � Property0�vner tdadAdtlress City State2ip Phone � <br /> � I <br /> � � <br /> i <br /> I <br /> I Tenant Name Qf this�s for a commercial businc ss) I <br /> ( ; <br /> � il�elu.�.s �-,�����_�����k 1��1 y'll��„��, l� 7�0� 7y 3 1���t 1 ; <br /> � ConUactCr I.1a�lAdCress C,ty State2�p Phone � <br /> I c � <br /> , ��E�cu�cl �g`t 1_.!�'� � S l-`t 7 d <br /> , 1VA State Contractcr L�cense Number(reGuired) City of Everett Business License �umber(required) <br /> 1 � <br /> ' Work to be done: � <br /> I <br /> � ❑ Side Sewer Repair � <br /> i i <br /> � Side Sewer Alteration ; <br /> i ' <br /> � ❑ Side Sewer- New Installalion ' <br /> i ! <br /> � <br /> i � <br /> �Install Ciackwater Valve (outside lhe building) i <br /> � ; <br /> I � <br /> I ! <br /> i ❑ Cap off Se�ver i <br /> i <br /> I ! <br /> � ❑ Install Water Meter --- - ---- � <br /> i FEE I <br /> i �7� ua i <br /> � CN� /S PeRr•irru ` j <br /> _�/�oa� i---- <br /> """` U I�D� - 156 � <br /> ,:�:«.�,�,•:.:„ --- — � <br />