Laserfiche WebLink
UTILITY PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />PROJECTAO— DRESS <br />Property Owner <br />Mail Address <br />In00P <br />Tenant Name (if this is for a commercial business) <br />Contractor Nlannuuress - <br />WA State Contractor Ucense Number (required) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Alteration <br />❑ Side Sewer— New Installation <br />9/1 ristall Backwater Valve outside the building) <br />❑ Cap off Sewer <br />❑ Install Water Meter <br />City <br />«) <br />131�1 go t <br />statelzip <br />Ub,G <br />Phone <br />/ ) �-i � e> `f CI <br />City of Everett Business License Number (required) <br />� - 2)o-1S <br />FEE <br />0 �� <br />PERMrr# <br />REVISED f IA 417014 <br />