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U�'iL�l� PER1111T' APPI�I�AT'I�N , <br /> CETY �F �VERETT PERMlT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257=8810 - FAX425-257-8a57—w�n�w.averettwa.org <br /> l5ll 1 �, � ��� <br /> PROJECTAUDRESS ��5� <br /> tJ 1�� �5� l 1,�� F�1� ��� � z5?- -Zq�Z. <br /> Property O��vner <br /> MailAddress City Slate/Zip Phone <br /> i U <br /> Tenant Name Qf this is for a commercial business) <br /> (�l?_�i) <br /> � �� �,��� i�,�l��� �a �����i w a �t��3 — <br /> ,Z4ti-- �'ici�9 <br /> Contraclor MalAddress City State2�p Phone II <br /> � <br /> � 1, K � � I <br /> !-� Nl�.�i ��� -�`'-� ' <br /> WA State Contractor License Numher(reqwred) City of Everett Business Ucense Number(required) I <br /> Work to be done: <br /> ❑ Side Sewer I �:=�ir <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> N7 Install Backwater Valve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ install Water Meter FEE <br /> �3c� .6� <br /> _ — �,5 PERMIT#_ I <br /> Sig at ./ �� Date I I `�(�i ��$ <br /> V l.s u"� <br /> aewseo irnsrzma .. — <br />