Laserfiche WebLink
WATERISEWER UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERF.TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - wu�w.everettwa.gov <br />I �O� i " 11 I-iv� <br />PROJECT ADDRESS <br />p v�r A��� �1,1;,r <br />�i ropert� Owner t.tad Aadress Gry <br />I ^ �1 <br />�v <br />��. Tenant a <br />� � <br />�',ce��e <br />' Contractor <br />(If thi� �s for a <br />�� �/ <br />L1an AdCrzss <br />i� � <br />I Work to be done: <br />�I ❑ Side Sewer Repair <br />I ❑ Side Sewer Alteration <br />business) <br />� ��:�� <br />❑ Side Sewer - New Installation <br />�J Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />.:�v.,�,,,,�.,,: <br />�- <br />��2G <br />Na,� <br />���� <br />�faSS <br />Phone i <br />�� t �D <br />Gry of Everett Business License Number (requ�red) <br />"7o•Od <br />PERM(T;. <br />� (�o�t-��S <br />:_�Ss,:� w_"}�. '�`-s'--.�.;t,�. �y M_ �.�.`*.'_°��� <br />