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f <br /> �`��� ,��( ��R6�i�T A���B�A�°8�� . <br /> �@� �F ��E���T F'��il�d8� �ERVeC <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX 425-257-8857—u�ww.everettwa.org <br /> �.5oti I��.�O� eu�) <br /> PROJi .;i ADDRESS � <br /> 1n I�)��]�1� '^ 1 (�� �U�,�� ���t' �Zz - ���`� <br /> � �� �1I�/ � / � /�� • �N A �/111( � Q � _ <br /> S � City S�'te(Lip Phono <br /> Property O�mer Mad Address <br /> �Il i�t �. -- <br /> Ten�nt Name(If this is for a commercial business) <br /> �1� �`>>s� <br /> ' -.�-. � 7�iti:��L'1 1Q, �V1�(�.�%�:� l,l� C�.���ru-�7 rZ.�-!`-L� ��\7C1 <br /> Contracto� MadAddress <br /> City StatolLip Phone <br /> r-,/(-?` <br /> !1 '` hj J � <br /> /-t I��.�� � ���� , T\ � City of Evereit Bus(ness License Number(required) <br /> WA State Contractor l.icense Number(reqwred) <br /> Work 4o be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side S2wer Aikeration <br /> ❑ Side Sewer— New Instailation <br /> f7 Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEe <br /> ���o�� <br /> � , � ,�!_ � — ' � " I=_ PERMIT# <br /> �� `'r ' Date z.11 I "J � 5�V I �D <br /> Sig,aty.e/ <br /> nevrsen ttns2oie — <br />