Laserfiche WebLink
., �`�'iY�l'T�°� �'�F�f�iIT APPLIC:A�'IIJ�! <br />�!"�f C�F EVERE"fT' PERM17' SERVICES <br />3200 CEDAR S iREET, EVL"RETT, WA 98201 <br />425-257-8810 - FAX 47.5-257-8857 —vnvw.everettwa.org <br />113a'�l Zu; ��,r <br />I PROJECT ADDRESS <br />i .—(Tltl� A/ZNi? i i <br />Property O�vner tctal Adtlress Ciry Stale.�Z:p Phcnc <br />Tenant Name pf this i, for a commercia� business) <br />' Conlrac;or t�lailACtlress Ci;y <br />I <br />I/�/�oL G PG �03 � i <br />VJA State Contracior License Number (required) <br />IWork to be done: <br />i <br />� ❑ Side Sewer Repair <br />� ❑ Side Sewer Alteration <br />I <br />j ❑ Side Sewer — New Installation <br />�Install Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />�=�,s�o,,,,��o„ <br />SIalE2ip <br />Phore <br />oS3�/s.f <br />City of Evereit Business License Number (required) <br />I <br />� <br />I <br />FEE <br />30�� <br />I 9 f �� aeRr�rrY <br />�15�3-10 <br />