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����'�� ������ ������������� <br /> ClTY OF EVERcTT PEFZfVi1T. S�filiiC�S <br /> 3200 CEDAR STREET, t JERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�rrJ,nv.everettwa.org <br /> ��� _ <br /> PROJECT ADORESS <br /> �D�k�r � �� <br /> PropertyOr.ner ldailAddmss . . , Cdy StaI�O Fhona <br /> �enant Name (It this is.for a commercial business) � � . 11�'1�_��/h_ <br /> Lc,w �ri�1 <br /> �1'�� .'P.l -I"u i'7z»C. J `il� (!- IV/�l� �O[�TLD ' r �� <br /> --�.� <br /> Conitador �MailAddress � . City� 54�tefLp Phon; <br /> S�.'tN-ex-�L�''IZ� �S U �'� � ��_ <br /> WA Slate ConfraGor Licens2 Number(require� � ' City ot Everett Business license Number(required) <br /> Work to be done: <br /> O. Side Sewer Repair � �; �, , ,> <br /> Cl Sicle Sewer Alter_ation <br /> � ` <br /> ❑ Sicie Sewer — New Installaiion � <br /> � Install Cackwater Valve nutsid� the huilding) <br /> LI Cap'o(t Sewer � � ` <br /> ❑ Install Water Meter ; :` _ <br /> FEE <br /> ': �� o� <br /> � /7�,� <br /> �"�jG—�'���� y��=� QErzr�n# - — <br /> �t��Y-- -:oa,� -- ' u �S�Z:�7� <br /> �.��,,;�%:�,� <br /> � _� <br />