Laserfiche WebLink
�• �- _.S - <br />�I`�Vf�Y �lY� �li-�'�I�N��B-N� :f���W�L��/�, II ��8�9 <br />CITY CIF EVERE7"� P�RMI�`" �Er��IIC;,'E ; <br />3200 CEDAR STREGi, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-?.57-8857 — wv�n^✓.everettwa.org <br />%7 i�,rT <br />PROJECT ADDRESS <br />/�(�,' SS�r. 1 n U e S�'/"� 2n -��. <br />Properly0�vnef :dailAddress Gry StaterZ�p Phone <br />Tenant Name Qf this is for a commercial business) <br />Contrador <br />�ddre,s <br />�i� ��. 9o3L1 - <br />l��lA State Conlractor License Number (required) <br />�Nork to 6e done: <br />6 <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteralion <br />❑ Side Sewer - New Installation <br />City <br />� Install Backwater Valve (outside the building) <br />i� \ <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />,:���s�o,,,,,,a,: <br />Sta!e.Zp Phone <br />_ cU S `/SS` _ <br />City of Everett Business License Numher (required) <br />S� <br />fEE <br />��0� <br />aERrirr�r <br />U 15 �Z -U7� <br />