Laserfiche WebLink
UTIL�ITY PERMIi �4PPLICAiION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257=8810 - FAX425-257-8857—wuvw.everettwa.otg <br />L`�c�� (:,i�A�n� <br />PROJECT ADDRESS <br />Property <br />Mail Addtess <br />Tenant Name (If this is tor a commercial business) <br />CoNfactOf MailAddress <br />City <br />�.�i �S�-K t— — <br />WA State Contractor Ucense PJumber (requiied) <br />�Nork to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />p" Install Backwater Valve outside the building) <br />� Cap off Sewer <br />❑ Install Water Meter <br />REVISED 1flIBROfa <br />(��,��) <br />T�i+1.� �e , Si0 -- � zZ� <br />��ry State7p Phone <br />(�I <br />StalefLip <br />Phone <br />"Jr <br />c��3 °� �(8 <br />City of Everelt Business License Number (required) <br />PERMif# <br />UISo�-05� <br />