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��'V�.�`�i'� IP ��IViV`� A���V�A�'��i� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — wv,nv.everettwa.org <br />2 S3 Z 1Z, oc � e�'E?//�� <br />PROJECTADDRE5S <br />G�/i� liU'�hiii! �hh/Ch <br />PropertyOwner ldallAddress <br />Tenant Name Qf lhis is fer a commercial business) <br />�� G//G <br />�ontraclor <br />Address <br />� �oLL /�/_ 9�3 l, i <br />WA State Contractor License Num6er (required) <br />Work to he done: <br />O Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New �nstallation <br />City <br />/„��i � i.SV � '�e <br />�1Ir� n. E w �" i <br />Gty Sta'e/2ip <br />� Instail Backwater Valve (outside the building) <br />❑ Cap off Sewer <br />❑ Install Water <br />FEl7SE0 II/f^?01/ <br />Slatc/Z�p <br />'rnone <br />3�7 <br />�s� <br />Phone <br />� S� `�S� <br />City �f Everett Business License Number (required) <br />z/,��,�- <br />FEE <br />�a= <br />PeRr�rr,� <br />� ('/�2 �7Z <br />