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u-�iLor� ���Mo� �►�r��,�cA���n� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 987_01 <br /> 425-257-8810 - FAX 425-257-8857 -ww�v.everettwa.org <br /> I26 3�-- Iz.c,�l�cp.ti IQ(l <br /> PROJECT ADDRESS <br /> 1��.i_�_ � '�-_��__�1�._,�1��L � � <br /> n sso �r IJ� 7 c�cohn-PJ' �h ° <br /> Property Owner 1.1aJ Address Cdy Stale/Z�p Phone <br /> l'enant Name Qf this�s for a commercial business) <br /> UJ��U.�,S� Ls71Yti/[�C l,(0,����.. �0 ��k ��`�� �l�di'1/c*2� ��� 2�� 7y 3 ��l'� � <br /> Conlractor MaAdddress City State/Zip Phone <br /> L�E�Cu�cL�g�t L,la'� D S 2_�f 1 � <br /> 'f!A State Contractor I.icense Num6er(required) City of Fvere!t Business licensc Number(required) <br /> I <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteralion <br /> ❑ Side Sewer- New Insiailation <br /> �Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter I <br /> F[E ��ea I <br /> I <br /> ���— S PERh11T# <br /> , ---� o�t U I�oat-9� <br /> FEVISEO H/f3.:JN <br />