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l9TIL1TY PERIVIIT APPLBC/�`TIOtV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 _ . <br /> 425-257-8810 - FAX 425-257-8857=vwvw.everettwa.org <br /> f 2 I t� , c �,-� <br /> PROJECT ADDRESS <br /> �V� ' ���.5�� �k2t�-� �Z.� 2 S"Z �r� J"� <br /> Property0wnet Ma�lAddRss - Ciry SUtell,p � Phore <br /> Tenant Name(If this is for a commerdal6usiness) � � _ <br /> �C�wFr� �r;Fs�r.� 1 LC.G �n �t�r�c, �u +5 L�� hnw�>o� �,.�.}� 9�0�! <br /> Conhacto� Mail Add z �. . �City� . �SlatefLp . .� �Phone . - <br /> ZU(v - 8�jp-7c.� 7� <br /> .5�..�-e r FL �11tp .-�S ��1 -17`7!-i <br /> WA Stale COnUadorLirr.nse Number(requira� � . . � � Ciry of Everett.Buslness LiCense Numbet(required)� <br /> Work to'be done: „ . <br /> ❑ Side Sewer Repair <br /> ❑ 5ide Sewer Alteration <br /> ❑ Side Se.ver— New Installation <br /> � Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer . <br /> ❑ Install Water Meter <br /> ' F[E <br /> 1J�7�js ��� <br /> ignarore ! PERMIT# <br /> .� . .. � Da1e . .. �. �� � � � ; O' f.�� . <br /> n_wSED.tuiapoaa �. � ' . . , . ., u <br />