Laserfiche WebLink
3 <br /> UTI�_ITY PERMIT APPL�CATI�i�i <br /> CITY l�F EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-25%-8857 -www.everettwa.org <br /> �l3Z 2a�/� ���e � �.e <br /> PROJECT ADDRESS � � _'�� - 6 LJ <br /> �0 4 Lr ' ��9c3 7�Lo�CLcr -�-.,atit�-+. �� g '8 2 0� <br /> PropertyOwne � MailAddmss City StalrJZip Phono <br /> Tenant Name(If this is for a commercial business) <br /> � �.. � �i�(Q�� VI S'f"`vc�v"` <br /> i$�4—���r, l��r9 L« �✓.�.�' �.,sv+- 9�0$ `{'�r '/89-o�z3 <br /> Contrador ,D. il Addre Ciry � State2ip Phone <br /> —� ��.�..�7� �u1 O//�U ��J�s�� <br /> WA Shate Contrador License ber required) City of Everetl Business License Number(required) <br /> Work to be done• <br /> O Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Inst�liation <br /> �Instail Backwater Valve outside the building) <br /> 0 Cap off Sewer <br /> � ❑ Install Water Meter <br /> FEE <br /> �� Od <br /> — / --y � PERMITH <br /> gnaNre � . ate . . . _ � `�O � —D� ' <br /> � <br /> ..atvrsm iina�or� � . <br />