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��s�.i-�� ���n�i� ����o��ri�� <br />CITY UF EyEREiT PEFtMIT SERVICE� <br />3200 CEDAR STREET, EVFR[TT, 1��A 98201 <br />425-257-8810 - FAX425-257-8857—wv�n��.everettwa.org <br />I��rr�vitl. �iR. L'vt/C7� i,.iA qg.kl� - <br />PROJECT ADDRESS <br />Property Ovmer <br />Mail Adtlress <br />Tenant Name (i( this is for a commerciai business) <br />/7 /�G%/U �i/��n � <br />Ccntracto� IdailAddress <br />��GG G /�L ,�G3 G % <br />VJA State Contractor Licen:,e Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />fi�lnstall Backv�aier Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Insiall Water Meter <br />�.,-,,�o,,,����,. <br />Ciry <br />i/ <br />StatelZip <br />StatelZip <br />Phone <br />Phone <br />oS3�/ss <br />City of Everett Business License Number (requirec) <br />FE[ <br />��00 <br />PC-RMIT'# <br />U 1����� <br />