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, <br /> ������� �������� ����������� <br /> �CI"�' �� �1/�REi"T E��9�i!lIIT S�R1�l�G�� <br /> 3200 CEDAR STREET, EVEREi T, WA 98201 <br /> 425-257-8890 - FAX425-257-8657-v�unv.everettv�a.org <br /> � "3� � N�o�l� ��� <br /> PROJECT ADDRESS <br /> Na . N �-� 1�ov� -- -- <br /> Proparty Owner Mail Address Cay St�tclLa P;ior.a <br /> i enant Nam�pi Ihis is ior a c�mmarcial business) i <br /> 2����,o- <br /> ��-� �i��i�-s � �-»c. � ��� � � �T��� ��7� <br /> GorfYadOr MalAddress Ciiy S t.IGp Phone <br /> S�We,�r�L�'IZ.� f'nS Q � � (j� <br /> WA State ConU'aUor Licvnse Number(required) CRy of Everefl E3usiness License Number(royuirzc� <br /> Work to be done: <br /> ❑ Side Sewc�r Repair <br /> � Side Sewer Afteration <br /> � Side Sewar— New Installation <br /> � Install Backwafer Valve outside ihe building) <br /> ❑ Cap or�Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> �'30,0° <br /> —e=�—��P/J��� 7'-.-ri--C PERMIT� � <br /> Sign�lurr _ ocic � ���� —�^ � <br /> i '��J <br /> � nti�SC�:VL4�N'I: <br />