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� <br /> ������� ���■-.'� ����'����V■ - <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 /> � � � � l <br /> � �� �� -- C�.�� <br /> PROJECT ADDRESS <br /> ��.-�-s�h,�,1���-� ,3�r �t z��-�� � ���=12�C� c.c.>C� g��- .3���� <br /> Property Ownef Mail Address City � StatelZip Phone <br /> ''�, � ;�} �'. <br /> Tenant Name (If this is for a commercial business) <br /> _( r� ` � � ��� ��` `�t <br /> ��. �-`.� :�,� �_: ;�-, � �-=4 �- �-a=- �� ��' � -_� ?L.':� �.��-c -�. � `� <br /> ContrBCtor Mail Address City State/Zip Phone <br /> � �„ a ';" -_c��� ( �� � ?,� q-i _' �,.r� <br /> ''1 � 4 f--• �\ „ � {�! `r- � ',,'`f� 4/� ��.�`� _ <br /> � <br /> WA State Contractor License Number(required) City of Everett Business License Number(required) <br /> Vilork to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer- New Installation <br /> , <br /> ���Instal! Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter FEE <br /> � ��+�/ <br /> ��" � 'i"f.�j PERMIT# <br /> ,--,-. ��.---.-- - __ � � <br /> , Sig at.el; ff j - Date v I VL�� J �U/� <br /> REVI SED 1 i/19/2014 <br />