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, UTIl�B� PERII�IIT A,PPI.ICATION . <br /> CITY OF EVERE�'T P�RIIlrIZ' SERVICES <br /> 3200 CED?,R STR�ET, EVEREI7, WA 98201 <br /> 425-257=8810 - FAX 425-257-8857-�n�uw�.everettwa.org <br /> Z5�3 C,���.�� �� <br /> PROJECT ADDRESS ��'�� <br /> ' �R.i�r►n 7i70� �rwh� �U�'�.�Zl LI��P, '-(7Q -- ISZ� <br /> �0.�'�'�l e— State/Zip Phone <br /> Property0emer MailAddress ��h' � <br /> IR 1���_ <br /> Tenant Name(If this is for a commerciai business) <br /> (�i 25) <br /> / /� ) I �t�2D3 a.:�ti,��t��SG <br /> �. �� �\o(J4��—.LtGG�G'1 Cl�� ��I<"��� � 1.� �� Phone <br /> Co0tf2Llaf <br /> M�d Address Crty StaIB/Zip <br /> ���''���i �5 �� � K � 0�3 ���(8 <br /> WA State Contractor License Numher(required) City of Everett Business License Number(required) <br /> Work to be �one' <br /> ❑ Side Sewer Repair <br /> ❑ Side Se�ruer Alteration <br /> ❑ Side Sewer — New Instaliation <br /> H� Install Backwater Valve outside the building) <br /> L7 "Cap ofF Sewer <br /> ❑ Install Water Meter PEE <br /> �30•o�v <br /> � '-" �Z'- �� PERMIT# . <br /> _ 9 " Oata � U t�rj,',� �� <br /> Si at e <br /> � FEVISEDif/IB20f4 . ... <br />