Laserfiche WebLink
UTILI�Y PERMIT APPLICATIOfd <br />CITY OF EVERETT F'ERMIT SERVICES <br />3200 CEDAP. STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-7_57-8857 - w�+n^�.everettwa org <br />�--� ''`=`-- - <br />I PROJECT ADDRESS <br />� � . <br />� �,��s--� G�5_�L �F -����t��� -� � -- ��� <br />I, Property Q•:mer f.1ao. Address C�ry S:alerL Phone � <br />1 � i <br />��� --� -�� <br />� Tenant amc (If this is fcr a tommerual b�siness) <br />yu�—...�.,--.___ __ <br />L9ai �dtlress <br />ContraUor License <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sev�er Alteration <br />(reqwrea) <br />❑ Side Sewer - New Installation <br />���� � �z <br />� �`�-�-�---�Z� _�� <br />Gly Slale2�p Ptiore <br />� � �� <br />Crty of Evere t 3usiness License Number (required) <br />L� Instail Backwater Valve (outside ihe building) <br />�� <br />❑ Cap �f( Sewer <br />i ❑ Install Water Meter <br />� 2�= "/�� <br />FGE <br />� �d.`�� <br />�PERh1iT" <br />���-�D� <br />