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��'YLiT`� �E�(�iY� f���'�B�AT��� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, f=VERETT, WA 98?_01 <br /> 425-257-8810 - FAX 425-257-8857 -�nv�v.everethva.org <br /> ��/3( /,v�-F��n�� /�v� <br /> PROJECT ADDRESS �.��1 a�_ <br /> �eci� l� ���-t.����� ,4U� F.�.r��-! 1,��9- � 6�1- 7a 7� <br /> Propehy Owner Mad Address Cdy S�ate2�p Phone <br /> I <br /> Tenam Name Q(Ihis is for a commerclal business) i <br /> (���-��-� I 7S=� � ,"�2.� C� � ����'� �c�- ���v� a S'�-87�y <br /> Contraelor t�7adAdtlress C�ry StaferLp Phone <br /> i <br /> �G 5��7�yr� —C_3J ��S / -- I <br /> 4VA State Coniractor License Nwnber(reqwied) Cdy of Everetl Business License Number(required) I <br /> Work to be d <br /> Sic1e Sewer Repair <br /> ❑ Side Sewer Aiteration <br /> ❑ Side Sewer – New Installation <br /> ❑ Install Backwater Valve (outside the building) <br /> ❑ Cap off Sewer <br /> ❑ Install Water Meter <br /> FEE � <br /> � � % <br /> '����� � �'�f���— PERMIT# <br /> � � re ' - Date V ( I/D ���� ' . <br /> PEl'iSED�bf9?Ola � _._ ... ___ __ ___� <br />