Laserfiche WebLink
UTILITY PERMiT APPLICATIO�1 <br />CITf OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERF_Tf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />'� l � ,�/ �y�y� �ev�� � <br />PROJECT ADDRESS <br />n e. <br />Property Owner <br />Terent Neme (If ihis is for a commerdal business) <br />� <br />Mail <br />�P��/�o�//�Q <br />WA State CoMrador license Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Afteration <br />❑ Side Sewer — New Instailation <br />Ciry <br />nstaU Backwater Valve outside the building) <br />❑ Cap off Sewer <br />O Install <br />Meter <br />.� <br />C7ry <br />Statrll� <br />l� 2.� 7 -�.crt' � <br />Sfate/Zq Plane <br />S r' <br />�.�Q _ <br />PAone <br />o�ss� <br />Ciry ot Everett Business l icense Number (requ'rted) <br />FEE O <br />�D� <br />� PERhQT# <br />U (�D`��l �( <br />