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�J�ILIT'�' P�l�11i�1� �,PPLI�A►�'I�IV <br /> ClYY JF E�lEREI'T PERMIT SEl2VICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�vww.everettwa.org <br /> �� �� MR(���Q �-• <br /> PROJECT ADDRESS <br /> �,����2-� _ � �,�.� � 9��-a I <br /> Property Owner Mail Addrss Ciry State/Zip Phonc <br /> Tenant tJame Qf this is for a commercial business) <br /> �'��G//�/ J�%r.o✓�13�n� S `/7 7I�i?r=u n/� M/w�vSl/i//[i w/?- ���7G• �Ss7��So7 _ <br /> CoNraClor IAail Addrzss � City State2ip Phone <br /> ��GG G/�G QG.�L% dS3�/S S <br /> WA State Contrector License Number(required) City of Evereri Business License Number(required) <br /> Work to be done: <br /> ❑ Side Sewer Repair <br /> ❑ Side Sewer Alteration <br /> ❑ Side Sewer — New Installation <br /> �Install Backvdater Valve (outside the building) <br /> ❑ Cap oft Sewer <br /> ❑ Install lNater Meter <br /> FE[ <br /> ��p o° <br /> --. �� I — � � PERMIT# <br /> Signature Date U �}�O�` D I O <br /> .�� � <br /> REc6'_Dnno.�ala � __� <br />