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• �TILIi� P�RIVIIT' Q,PPLICAI'I�N] <br />CITlf �F EVERE7�' PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wv.v�.everettwa.org <br />{3oa 2accic�r <br />PROJECT ADDRESS <br />LCGGf /'e/j SG" L ����il� <br />Property Owner � Idail Atldress City Sfate2ip Phone <br />Tenant Name Qf this is for a commercial business) <br />�"%o/% %u.�+1�� <br />Contractor <br />/��oL G PG �c 3 � i <br />\NA State Contracfor License Number (reqaired) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer — New Installation <br />City <br />�Install Backwater Valve (o�tside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />I:.VISED � 1/i?2CN <br />State2ip <br />�37�� <br />Phone <br />oS3�/s � <br />Ciry of Evemtt Business License Number (required) <br />FEE ^� <br />3 �C.JIJ <br />PERMIT,'t <br />� � s o3- I'�5 <br />