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� � <br /> � ��Ofl���f ��RMI°T �►���I�A�9��8 . <br /> C@�Y OF EO/E�E�iT P��NI9T �ER1/BC�� <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-2�-8810 - FAX425-257-8857—www.everettwa.org <br /> �/�Z i�G � 0.12 ��� <br /> PROJECTADDRESS <br /> c�e�e � 53 - 2. <br /> �� �ity Stal�P Phane <br /> Pfopefly0l Bf MailAddress <br /> ���t <br /> Tenant Name(It this is tor a cammercial business) <br /> (�i2S) � <br /> � .. ' w`�.%�I.1 LJ C[�'S20� :z�-iti,—�i��� ri <br /> 7 (./C, �itG��4'1 C��� �'� phone <br /> , ��, StalelZp <br /> Conhactof MailAddress <br /> 4�.i 5��( L 4� � n�� ���{Qv <br /> �� ��, City of Everett Business�cense Number(reqwred) <br /> WA Slale Contrectar Ucense Number(reqwred) <br /> Worlc fo be done: <br /> O Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> p Side Sewer— New Installatio�� <br /> L7 Install Backwater Valve outside the buiiding) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> �3D.(rx� <br /> � i.(/ oae� IJ p � �V�►O�� <br /> Sig et� / �.d <br /> nev�sm�insnmo <br />