Laserfiche WebLink
. . . � 1�����'(1 G°���U�dO�(' l°���'f���Q���� <br />��� �� ������' ����a� ���vo��� <br />3200 CEDAR STR�� �ER�T� WA 98201 <br />425-257=8810 - FAX 425-257-8857 — www•everettwa.ofg <br />�l J�1. I��u� <br />P(20JE�!�DtZE55 � <br />w� ��,�w- �\���� � <br />P�nperty Owner �1�ail Addmss <br />�� "' � — commeccial husiness) <br />Tenant Name (If lhis is �� e <br />—^"y'�— p�alAddress <br />ConVactn� <br />- — City StatrJ£rp <br />�`-7 <br />=�-11 i,•J 0. �f � � � <br />C�, StatelGP <br />�� � �� L l \ r � <br />�NA State Contrador Ltcense rvumher (2qwred) <br />Worlc'� be dor+e" <br />❑ Side Sewer `ZePair <br />[7 Side Sewer A�tera4ion <br />❑ Side Sewer— New Instail�tion <br />E� Install Bacicwater Valve outside the building) <br />❑ CaP � Sewer <br />❑ Install Water Meter <br />J <br />s� a� <br />pn^,<c� I111^^.D7< <br />r„_�:.y <br />.SZ- 35`f5I <br />P�ono <br />.- �-I.�i 5 <br />Phone <br />��' l / L� 1 V <br />City oF Everetl Businese License Number (requrted) <br />.ra.�.�pso:e�mn <br />PERMiT� <br />�151�-b01 <br />