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TI TY PE MIT APPLI TION � <br /> _ . U LI R CA <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetttva.org <br /> ��� C� r✓ � <br /> PROJECT ADDRESS �--_�� <br /> .�`� � C�Y� � I�a�Jc`� C�9��0 � �� <br /> Property Owner Mail Address City State2�p Phone <br /> �'�`-' S� � - �� <br /> Tenant Name (If is is for a commercial business) �� GJ3� <br /> �[ <br /> �� �S 6. ��.�� �� � � � � �� <br /> ConiraClor Mail Atltlress City Stale/Z�p Phone <br /> �DL 1� �)�3A� � ��— <br /> WA State Coniractor License�w�quired) City of Everett Business License Number(required) <br /> Work to e done: <br /> Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer— New Installation <br /> ❑ Install Backwater Valve (outside the building) <br /> ❑ Cap o(f Sewer <br /> ❑ Install Water Meter <br /> FEE <br /> ,��pec� <br /> � <br /> � S '� �� PERMIi# <br /> Signature �ate � <br /> 1505- 05� <br /> �.Eh�5e0 iv�a^J�a <br />