Laserfiche WebLink
:�-. . .� . <br /> : ' U.TIL'1TY �PE_RM.iT-APPLICATION . " ;, `. <br /> _ - . ' . _ �CI>fY OF�fVERETT�PERMIT:SERVICES ` -. <br /> � � 320Q'CEDAR STREET, EVERETT, WA 98201 . <br /> �:. . .425?257�-8810 - frVC 42�257-8857-wuvw.everettwa.org � <br /> . . . . .. . . � . _ � � . . ti . .� . . <br /> . . . . . . . - i : . . <br /> ' � °�.3 � , .Qa�Ps . � u� � 4 � � <br /> _ . . . . . . . <br /> _ . _ . <br /> PROJECT ADDRESS � '. <br /> 1�/� cN. �: MOri GlC6 .�_ s�� <br /> �� Property Owne� �� � � . �Mail�Address � � � . . City � - State/Zip _ . .PAone _ <br /> N I � <br /> Tenant Name(If this is(or a commerciai business) <br /> ���� <br /> ���- �viev�Q,If.a �.:��c 3.4�� l.�hnw q�b�F� <br /> Contractor . . � . . Mail Address - � :�Cdy: � � ... ' etip . .. , Phono . <br /> �ew�.�rL�1:.� n�s dy � �� � <br /> WA Stale Contrador License Number(require�. � City oLEverep Business License Number(required) <br /> � - . . . . . .r. . � . ._. <br /> Work to be done•. . ;.. , .. , _ : , , Y, , <br /> � ' � - ' � � M��� t.. " ' <br /> �-r ' L 1_ , . -i K . <br /> � Side Sewer Repair _ • <br /> O Side.Sewer Alteration ` �`• - <br /> ❑ Side.Sewer— New installation ,�.� • : , .,.,:, ' <br /> . :,>: . ,. <br /> �,; <br /> C�Install Backwater Valve outside the building) <br /> ' . . . . . . . _ k. . .. . <br /> O Cap off Sewer . � <br /> � Install Water Meter � . <br /> • �E.. O <br /> � v <br /> �3b: .J <br /> r i� _ <br /> /l ii <br /> o��C� . . �-PERMIT# . <br /> ' S-� . . : Date-: . � <br /> . . . u ti� a�- � �Z <br /> ,�,���,,���, , . <br />