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�TOL9� ��R�VIIT �►PP@���A�106V <br />C@�f OF EO/ER�iT PERMIT SERV@CE� <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257=8810 - FAX 425-257-8857 — www.everetiwa.org <br />� Z� �o.,�,n ��e,+R- �I� <br />PROJECTAODRESS <br /><< <br />Property O:mer <br />`�,�e, u2�1 R� <br />Mail Addmss <br />Cily <br />: ►� <br />-6705 <br />Phone <br />11� �) t ti%, <br />Tenant :Vame (I( lhis is fot a cammercial business) <br />�`"��5) � <br />.�- �?. Ci�, _it'��+a� c�R, E11iw`F%�%Ll i,v � C(���D� z�iti�4�i��i <br />- C� StatelZiP Phona <br />ConVattOr MailAddress <br />n �7� � i� �— (7"� �`� `f l� uired <br />,•-t I�'��..i� ���— — ��ty of Everett Business �cense Number (req ) <br />WA State Cantrector License Number (reqw2d) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />� Side Sewer — New Installation <br />O" Install Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />�- <br />nEvrsen nnaaou <br />2-15 <br />, � r• <br />,. <br />PERMif# <br />u 1505-�15 <br />