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--- ---____- -- - - -- -- <br /> � - — _ _ � <br /> . , <br /> ' I�T�I��T�' P�tt�Ni��' A��'�V�:ATi�i� � <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-8810 - FAX 425-257-8857 -v✓���,v everettwa.org I <br /> I i <br /> I <br /> iG 17�� T �' <br /> I � ,-T---- I <br /> i PROJECT ADDRESS <br /> I <br /> i ��jc/'QS �npriSc/� __-_ _ _--- S�� c= .. ------ -- I <br /> . Property Ovmer !.'a�l ACtlress Cu/ S;ate'Z�p Phcne � <br /> I <br /> I <br /> I -- � <br /> � ��enan!Name Qf Ihis�s for a coinmerciat t�usiness) <br /> ! � <br /> � �L/Z S� i <br /> i �''f—//�i ��,.,,r! �J,� - S`�i7 '9/ AV�y �✓�nrySyii� �w��' 9Sr77�- 387 — /Sc7 � <br /> COh�feCtO� da�.lAdCress Gry S!a!e�LG Phon? � <br /> I <br /> C � <br /> � �G �i ��G j'�G'3 d,� GS3 /SS� <br /> VJA Sla;e CoMradcr L��cense :�Jumber (requirea) Cily cf Everelt Business Liwnse Number (reG�iredl ' <br /> I <br /> � Work to be done: � <br /> � ❑ Side Sewer Repair � <br /> � i <br /> i I <br /> I <br /> j ❑ Side Se�.ver Alteration ! <br /> I <br /> i ❑ Side Sewer - New Installation <br /> � i <br /> �S Install Backwater Valve (outside the building) j <br /> � i <br /> i <br /> I ❑ Cap off Sewer � <br /> � I <br /> ❑ Install Water Meter -1 i <br /> FEE � <br /> / J��)i� � � <br /> I <br /> -�--- /I /S,/f PERMfT?t I <br /> SignaWre Datc ' r f � f1 I _ OO� <br /> Ui �� � � <br /> Ft�.:�F��,,,:.:;�. <br />