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' . —_ -__ _.—___ __ ._— ____. ___- � <br /> I <br /> I V,�'���..�V;a�`� �'I� '�'��ii�rd' .�����.aC��,-11�����4 <br /> � CITY OF EVERETT O�ERMfi 5E4�VIC�� ; <br /> 37_00 CED!`,R S-iRFET, EVERETT, VVA 98201 I <br /> 425-257-8810 - �Ar425-257-8857 -v✓�,w�.everefhva.org i <br /> I <br /> I <br /> � <br /> I l9a� l� �� -- � <br /> � PkOJECT ADDRESS I <br /> � /� q � g<�Zs� � <br /> I ! �,/ /n lvn. ���i ����7P�� �.�t Q��-e � <br /> �— <br /> Property0rrner MailAddress City S!at��;Z�p Phore <br /> Tenant Name Qf this is for a commercial business) j <br /> UJe�a.�,� s���t�i_�r ,����'____��) �bk 1'��1 �ll���,ic�, l.�i 2.0� 7y 3 ��r�f l ; <br /> iCoriraC' ' Ma�l Address Ci,y Stale�Zip Phone i <br /> 1 �{ � <br /> � ��E�cv��L�g�cl.�� DS � — 7 � <br /> � <br /> IWA State Contractor License Number(required) City of Everefl Business License Number(required) <br /> i <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer A.!teration <br /> i O Side Sewer– New Installation <br /> t <br /> �Install Backwater Vaive (oulsicie tlie building) <br /> i ❑ Cap off Sewer <br /> I ❑ Install Wafer Meter <br /> �F[E <br /> �� Qb <br /> 1./ `� �� PERh1iT:t <br /> ,2 S <br /> �r � Da� V �"/ v!�' � 1 <br /> r,6w5Eo�v�oROra <br />