Laserfiche WebLink
Jun 11 2615 09:48AM CJ'S PLUMBING 8 SERVICF ?,i0�691�1301 page 1 <br /> �(� L,� e <br /> U'►''lLITY PERMiT APPLICATION <br /> CITY OF EVERETT QERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257•8810 • FAX 425-257-8857 —www.everetfwa.org <br /> � � I� C`�c � <br /> T <br /> PROJECT ADDRESS <br /> .� S�, �Y' l-�� �C.ot' � ����� ��C�g�l���- <br /> Property Owncr Msil Address City Slate Zlp Pnor.a <br /> Tenant Name(II thls le tar a commerclal Cuslness) ����CI ST <br /> J <br /> ly\� AMTYJI�1 �_ �� -?A . l)� IU�IV 1/ l�Jl �1 V�/ Vl1lA�.�V �(� f�/Ll� <br /> Conlfactot ail Addros. Clty SWIdZip Phono <br /> �' � S � L� i � CO r��(� � a� <br /> SU�tato CoMractor Ucense Number(requlred) City of Everett Business License Number(required) <br /> I <br /> Work to be done: <br /> I <br /> O Side Sewer Repair <br /> O Side Sewer Alteration <br /> O Side Sewer -- New Installation <br /> �install Backwater Valve (outside the building) <br /> I0 Cap off Sewer <br /> O Install Water Meter --- <br /> rEE <br /> ��oo <br /> �-� — <br /> � PERMIT7J ! <br /> Sig�ature Date 1 1 f r O � �O� 1 <br /> U J �� i <br /> ��o����,� <br />