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lJTiLlil( �ER�'�ili APf�LICAiION <br />C�1'Y OF EVERETT �'EF�MIT SERVlCES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1, � � " � <br />PROJECT ADDRESS <br />Property Owr�r <br />�t(� <br />MailAddmss <br />Tenanl Name (If this is fo� a commercial business) <br />CofltfaCtOf MailAddress <br />� ;`n k.� i 5��� (, K `- <br />WA State Conirector License Num6er (reqwred) <br />Work to be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Aiteration <br />❑ Side Sewer— Naw Installation <br />� Install Sackwater Valve outside the buiiding) <br />❑ Cap off Sewer <br />❑ Instali 1Nater Meter <br />City <br />Cuz�) <br />z3Q -02�� <br />S��/zip � Phone <br />C�l <br />State2ip Phone <br />r��3 °�=(� <br />Ciry of Everett Business License Number (reqwred) <br />�I �'O `�� Ij � <br />� <br />FEE <br />��c�/ <br />PERMIT# <br />U IGD3- I (�2 <br />FpVISEG �V�f'tm: _ _ — -- <br />. _ ___.__.� <br />,�s �_�,��y� 1� <br />.. , �,,. .. . ... . ' ....,.w---o --^...��x�.w..`r�.,.svr,L. . <br />��fORlLi���'\�T.'�•T_-�ui�'a�' �Y�"''�� .e< ���F.�.J11M9 _.�Tt vMa �.o..t.'t�uu�v...w.. w'r.i» a��arv�.irn�rvMp.�M��dw...sw'�.ai.esl'+Mm+�rtn..Wy��vwMww�f.a�.y.w.!+WS�w��r.a.'.a�.ua.�� <br />