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�.�, . <br /> ����0� ������ �° �phi�9`� �Q���� . <br /> ���i � �� (���E�� �� �� <br /> 3200 CEDAR STREET, EVERETl�, WA 982U1 <br /> 425-257=8810 - FAX 425-257-8857—www.everettwa.org <br /> I"� V� �O(.:��i��1,1.V� ���ZS� <br /> PR03ECTADDRES� O _ 9�U� <br /> �-.�1�,�_—�_�r 1�,�� (Z.oc'-K��e��e�, 1�11 �1�1C� z� Phono <br /> ary —�s-m�rca <br /> Property Or+ner Ma�l address <br /> �n�i � <br /> Tena�t Name(If this is for a cammercial business) <br /> (`J?S) . � <br /> c ?�U �, �t,�l�c� c.(R, CU i,?.��I,l i.v , �(,�320� z.�;.,,���t� �i <br /> __ , C� S���P Phone <br /> ConiractOr MailAddress <br /> ' i-7 ''� Y CJ <br /> � ��,��� � �5 �� ,' lJ� � City of Everett Business License Number(required) <br /> WA Slate Contractar ucense Number(required) <br /> Wor{c 4a be dor�e: <br /> ❑ Side Sewer Repair <br /> ❑ �ide Sewer A�teration <br /> ❑ Side Sewer— New Installation <br /> i <br /> C�Install Bacicwater Valve outside the building <br /> ❑ Cap ofi Sewer <br /> � Install Water Meter FEE <br /> � 3D, �D <br /> /�� �` � �� '�.yC S PERMiT# <br /> _�� ,�f(i�[1/ Dato �l11 �' � �lU _ D� I <br /> Sig ahl. / <br /> REVISFA 11/19ROfd -- <br />