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����,��( �'L�M�1i �►P��0��4`�tON <br />�Bl� OF �VERE�T ��RiU19T ��RVBC�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - Fl+X 425-257-885? — www.everettwa.org <br />�,a�� b11� �� �_ �T � <br />PROJECTP�ODRESS <br />Property O�mer <br />e�2s) <br />Phone <br />�11 l� f <br />Tenant Name (If this is for a cammercial business) <br />�`> >S% <br />.. , � ,,,,---,— . .,, c��.„�nn� ��,�.�G�t� i <br />COnt2clof R4ailAddress <br />1��1� �� K� <br />WA State Contracror �cense Numoer (required) <br />Work 4o be done: <br />❑ Side Sewer Repair <br />❑ Side Sewer Aiteration <br />❑ Side Sewer— New Installation <br />City <br />H� Install Backwater Vaive outside the Luilding) <br />p Cap off Sewer <br />0 Install Water Meter <br />REY,SFD „M920f. <br />SfalefLip <br />Phone <br />c��3 °� �f ('v <br />City of Everett Business Vicense Number (required) <br />� �,p 0°- <br />- I 5 PERMIT# <br />l�l5b�-I�°I <br />