Laserfiche WebLink
�`TIL6�( 6��RnlIA� A���BCA�IOR9 . <br /> �@Tlf OF EVERE3T PERMYT SERV@CES <br /> 's20�CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX 425-257-8657—www.everettwa.org <br /> PROJE�DDRE�A�' �V� <br /> �u�) <br /> 2Jo4 CJaI-���- � �� • �l S� 6 zo� <br /> 1 � �(1� Ciry S�at�P Phona <br /> Property O�mer Mail Addmss <br /> �I�l�( <br /> Tenant Name(If this is for a cammercial business) <br /> (`i'ZS) <br /> ,I �l^ / <br /> •-�/� , 1/�. �V IG(��-%�:� �� C��'�i�✓7 ;Zc-1'-L....�j.�(7 <br /> a. �� ��.:Ul�, /�EtL��G'1 C S�t�i Phona <br /> COI1VaCtof MailAddress C <br /> �Y P <br /> �� � K � c��3 °>�{v <br /> � I���-� � 5�-- City oi Everett Business License Number(required) <br /> WA State CoMractor Ucense Number(required) <br /> Work Qo be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Instaliation <br /> p" Install Backwater Valve outside the building) <br /> ❑ Cap ofF Sewer <br /> ❑ Install Water Meter FEE <br /> �� � <br /> — /, S �i2 �o —`J� PERMIT# <br /> �:�/ Date � � �j Q�� I �� <br /> s�g ety <br /> nEvrsEn nnsnm� � � - � <br />