Laserfiche WebLink
� <br /> 1��8�� 1��' l��f�B���' ,��'�'!���.�,���G� <br /> �o�� ��� ���;����' ����a�u �������� <br /> 37_00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> j � 2 0 �r ��-e-t� <br /> PROJECT ADDRESS <br /> -��(—/l�� G-�, �����.YYl -� <br /> PropertyOwner PdailAddmss . City State2ip Phone <br /> Tenant Name Qt ihis is for a commeicial business) <br /> 0. ��y��.S.—_l_'�tp�1�EY1lFI 'F''� .�5�� �uf-J'f.Tl �� ltcSu%� _ <br /> COMraclor Ma8 Address ,/ City State2ip �'hone <br /> C',4N� �A� 1�� i'�S vy `t � o � <br /> lNA Stale Conlractor License Number(required) City of[veretl Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer– New Installaticn <br /> nstall Backwater Valve (outside the building) <br /> . <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter — ---- — <br /> f[E <br /> ���,�� <br /> ���,.���� ���._ �_l (o , zD/5 i�rnMrrn -- <br /> ----��9,,.,,�«-- - ��:,�� � i� b�-o�-I� <br /> ,:,�,�F,�,,,,�,�,,,� <br />