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. <br /> ���L�O� ���1���� ��p��C���O�� . <br /> ���i V �� ��(���� P��614d0�1' ����BC� <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257=8810 - FAX 425-257-6857–www.everettwa.org <br /> 1�rr.� �' Y� I �� ��2f�� <br /> , <br /> PROJECiI�DDRES� <br /> � �lo.!���5 ��/` � �)� I� .r".� , 7�3! - 6a�g <br /> ' ���u 1�1—==� 'r Stat�P Phonn <br /> Property Own , <br /> Mad Addmss ��ry <br /> ,n�� �' <br /> Tenant Name(If this is for a commarcial husiness) <br /> � (ti?5) <br /> c " z.-��-i,--9.�t 5 4 <br /> CV��..,�-. t�2o� <br /> c 7�U�, Lii�l�c� cl�, '�, I'1 �� , State/22P Phone <br /> COntractof <br /> Ma1 Address �'ry <br /> �,f� t 1�. �-. r��s 3 ���pv <br /> � y�;�,�� l ��� — City of Everott 8usiness�cence Number(required) <br /> WA State Contractor�cense Numhcr(required) <br /> Worlc fio be do�ie: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> p Side Sewer— New Installation <br /> (�Install Bacicwater`,lalve outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter �E <br /> �30.°� <br /> I i,f/� � Dato �� —� pERMIT# <br /> Sig al�fa/ d� I "O "' l 0`Y � <br /> a�nseo++nsnw� — - <br />