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�--- --- — - — -- - —� <br /> �-����.� � � ������� ������1���'�� <br /> I Ci"�`t �� EV�RET"i' �E�tMiT SERV�CFS <br /> 320!` CEDAR STREET, EVEREl-i, ',�lA 98?_01 i <br /> � 425-<Si-4810 - Fr^,X425-257-8857 —www.everettwa.org <br /> � <br /> I i <br /> i j <br /> � <br /> I ��a v9 1 �w�1x�.� �,p F��a�e� �.,�A �i8�ol <br /> PROJECT ADDRESS � <br /> � <br /> I <br /> Property Ov.ner L4atl Addrr-ss Ciry Stale/Zip Phone I <br /> i <br /> Te�ant Name (If this is for a commercial busir:ess) � <br /> I <br /> �"/�c."./�G/ ��%u.�'l3'n 9 .S ��.%7 7���✓>u i✓' i",r�y S v� i/z w/1' �?ts�7.✓ .�b7'�5�7 <br /> 0 <br /> Co�tractor t✓ali Address C�ty Satc2'p Ph�ne � <br /> /�.�oG G f'G .,903 G i oS3��s s i <br /> V�'A S;ate Contrector License Number(reauired) City of Everett Business License Number(required) I <br /> Work to be done: I <br /> i <br /> ❑ Side Sewer Repair <br /> O Side Sewer Alteration <br /> Cl Side Sevder — New Installation <br /> Q�Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter PEE <br /> � � , �� <br /> , , _ PERMIT# <br /> SignaWre Uate � Ij_—O� �/'�� <br /> 7 ll I <br /> �v�seo+iirsrzma _ _ <br />