Laserfiche WebLink
� <br />�J � 9�.�`�'��' ��RlVili APPLICATI(�N <br />Cli'Y flF EVEREi7 �'ERMIT SERVICES <br />3?_00 CEDAR STR[ET, EVEREIT, WA 98201 <br />�125-7_57-88 i 0 - FAX 425-257-8857 — www.everettwa.org <br />3�3a o0.��cs �k,e. — <br />PROJECT ADDRESS <br />' E����I , ��� �t�� <br />Property Ocmer fdail Aadress Ci,y —� � State2�p Phone <br />Tenant Name Qf this is for a commercial business) <br />�"/G//U � �_ <br />� <br />Pi�13�=s S`/-7 7/ s�..✓�. r�;�ysv,ii� w. �7.. . <br />Cont2Ctor t:tail Addr2ss City State2ip JPhone <br />/�Po/ G r'G �03 �T oS3 �/s.f <br />VJA Stale Contraclor License Number (requued) City of Everett Business License Number (required) <br />Work to be done: <br />Side Sewer Repair <br />Side Sewer Alteration <br />Side Se�ver — Net�d Installation <br />�Install Back�a�ater Valve (outside the building) <br />Cap off Sewer <br />